电视胸腔镜手术治疗胸外伤60例临床观察

目的探讨电视胸腔镜手术（VATS）在胸外伤诊断及治疗中的可行性及其优越性。方法选取60例胸外伤患者，按随机数字表法分为观察组及对照组，每组30例。观察组行电视胸腔镜治疗，对照组行传统方法治疗。比较两组患者的切口长度、术后第3天疼痛程度、输血量、闭式引流时间、引流量、术后住院时间、术后第7天FEV，等相关指标。结果观察组切口长度为（7．41±5．52）cm，显著短于对照组的（18．62±4．11）cm（t=7．54，P〈0．05）；输血量和引流量分别为（199．88±23．00）mL和（199．52±18．48）mL，均显著少于对照组的（465．67±41．88）mL和（560．02±44．98）mL（t=6．38，6．98，均P〈0．05）；术后第3天视觉模拟评分（VAS）为（3．61±0．20）分，低于对照组的（6．01±0．25）分（t=6．64，P〈0．05）；术后住院时间为（6．50±0．45）d，短于对照组的（11．33±0．50）d（t=7．95，P〈0．05）。结论电视胸腔镜在胸部损伤诊治过程中有直观性强、创伤小、恢复快、并发症少等优势。’

Clinical observation of video-assisted thoracoscopic in the treatment of 60 patients with thoracic trauma

Objective To investigate the feasibility and superiority of video-assisted thoracic surgery （VATS） in the diagnosis and treatment of chest trauma feasibility and superiority. Methods 60 cases were randomly selected and divided into the observation group （ n = 30 ） and control group （ n = 30 ） by random number table. The observation group was treated with VATS and the control group was treated with traditional methods. Incision length, after the first three days of pain, blood transfusion, closed drainage time, drainage, postoperative hospital stay, postoper- ative day 7 1S forced expiratory volume （FEV1 ） and other related indicators were compared between the two groups. Results Incision length of the Observation group was （7.41 ± 5.52） era,which was significantly shorter than （ 18.62 ± 4.11 ） cm of the control group （ t = 7.54, P 〈 0.05 ）. Amount of blood transfusion and drainage of the observation group were （199.88 ± 23.00） mL and （199.52± 18.48） mL,which were significantly less than （465.67 ± 41.88 ） mL and （ 560.02 ± 44.98 ） mL of the control group （ t = 6.38,6.98, all P 〈 0.05 ）. In the observation group patients after the first three days VAS score was （3.61 ±0.20） points, lower than （6.01 ±0.25） points of the con- trol group （ t = 6.64,P 〈 0.05 ）. Postoperative hospital stay was （6.50 ± 0.45 ） d, shorter than （ 11.33 ± 0.50 ） d of the control group（t=7.95,P〈0.05）. Conclusion VATS has the advantages of intuitive and strong,trauma,pain, faster recovery, shorter hospital stay, less closed thoracic drainage, fewer complications and so on in chest injury diag- nosis and treatment.