胸腔镜手术治疗肺大疱临床分析

目的：探讨胸腔镜手术治疗肺大疱的临床疗效和安全性。方法：回顾性分析2005年6月～2010年6月本院采用胸腔镜手术治疗的68例肺大疱患者的临床资料,并以以往采取腋下小切口手术治疗的102例患者为对照组,比较两组患者的临床疗效。结果：观察组手术时间、术中出血量和术后漏气发生率明显低于对照组,组间比较差异有统计学意义（P〈0.01或P〈0.05）。可见治疗15d后两组患者PO2和SpO2均明显改善,治疗前后比较差异有统计学意义（P〈0.01）,但是组间比较差异无统计学意义（P〉0.05）。结论：两种治疗方法均有效,但胸腔镜手术效果更佳。

Clinical analysis of the treatment of lung bulbous by vats

Objective：To discuses the clinical efficacy and safety of surgical lung bulbous treated by vats.Methods：The clinical data of 68 cases lung bullous treated by vats during June 2005 to June 2010 was anslyzed netrospectively,and ever take small incision surgical treatment of alar 102 patients（control group）,compare the clinical curative effect of two groups of patients.Results：Operation time,bleed loss and the incidence of post operatine air leak of the observation group was low than control group,comparison between the different groups were statistically significant（P0.01） or（P0.05）,after the treatment of 15 d,in two groups,SpO2 and PO2 were obviously improved,difference had statistical significance（P0.01）,but the difference between groups was not statistically significant（P0.05）.Conclusion：Both treatments are effective,but the thoracoscope operation effect is better.