胸腔镜辅助腋下小切口治疗自发性气胸临床观察

目的观察胸腔镜辅助腋下小切口治疗自发性气胸的临床效果。方法将62例自发性气胸患者随机分为观察组和对照组各31例。对照组采用传统手术治疗,观察组采用胸腔镜辅助腋下小切口治疗。观察2组手术时间、术中出血、术后止痛和置管时间、住院时间,并记录术后并发症发生情况。结果观察组手术时间、术后止痛和置管时间、住院时间均短于对照组,术中出血量少于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论胸腔镜辅助腋下小切口治疗自发性气胸安全有效。

Clinical observation of small incision assisted by thoracoscope in the treatment of spontaneous pneumothorax

Objective To observe the clinical effect of small incision assisted by thoracoscope in the treatment of spontaneous pneumothorax. Methods 62 cases patients with spontaneous pneumothorax were randomly divided into observation group and control group, each of 31 cases. Control group received traditional surgery, and observation group underwent small incision assisted by thoracoscope. Observed operative time, blood loss, postoperative analgesia time, catheter time and hos- pital stay of two groups, and recorded the incidence rate of postoperative complication. Results In observation group, the oper- ative time, postoperative analgesia time, catheter time and hospital stay were shorter than those in control group, blood loss was less than that in control group, incidence rate of complication was lower than that in control group, there were significant difference （P 〈 0.05）. Conclusion Small incision assisted by thoracoscope in the treatment of spontaneous pneumothorax is effective and safe.