单操作孔电视胸腔镜在治疗自发性气胸中的应用价值

目的:探讨单操作孔电视胸腔镜治疗自发性气胸的临床应用价值。方法:对33例自发性气胸患者(观察组)使用单操作孔电视胸腔镜手术, 并选取同期采用三孔胸腔镜的自发性气胸患者23例(对照组), 对比2组的手术时间、术中出血量、手术费用、术后胸管拔除时间、术后并发症等。结果:观察组术中出血量和手术费用均少于对照组(P<0.05);2组手术时间、术后胸管拔管时间、术后并发症及住院时间差异均无统计学意义(P>0.05~P=1.000)。 结论:单操作孔电视胸腔镜能够顺利完成不需要复杂操作的胸腔镜手术, 没有增加手术时间, 符合微创的理念, 值得在微创胸腔外科中推广。

The clinical application value of single utility hole video-assisted thoracoscopic operation in the treatment of spontaneous pneumothorax

Objective:To investigate the clinical application value of single utility hole video-assisted thoracoscopic operation in the treatment of spontaneous pneumothorax. Methods:Fifty-five patients with spontaneous pneumothorax were treated with single utility hole video-assisted thoracoscopic operation ( observation group, 33 cases ) and three utility holes video-assisted thoracoscopic operation (control group,23 cases),respectively. The operation time,bleeding volume,operation cost,and postoperative extubation time and complications between two groups were compared. Results:The bleeding volume and operation cost of observation group were lower than the control group(P<0. 05),the differences of the operation time,postoperative extubation time and complications between two groups were not statistically significant(P>0. 05 to P=1. 000). Conclusions:The single utility hole video-assisted thoracoscopic operation is single,and do not increase the operation time, which is consistent with the concept of minimally invasive, and worth promoting in minimally invasive thoracic surgery.