初探硬质胸腔镜技术早期干预自发性气胸的临床效果

【摘要】 目的对比传统气胸治疗方法,评价电视胸腔镜技术早期干预自发性气胸的临床效果。方法选择156例自发性气胸患者,分为直接胸腔镜术组61例与胸穿及闭式引流后胸腔镜术组95例,评价2组术后临床个疗效指标。结果直接胸腔镜术组与胸穿及闭式引流后胸腔镜术组除术中中转开胸率及住院期间死亡率无差异外(P>0.05),术后复发、肺水肿、持续漏气、感染、住院手术时间、引流时间指标直接胸腔镜术组均明显好于胸穿及闭式引流后胸腔镜术组(P=0.01～0.05)。结论胸腔镜术早期干预首发自发性气胸安全、可靠,可最大程度的缩短病人治疗时间,降低术后复发,减轻病人痛苦,减低病人的住院时间及治疗费用。更多还原

【Abstract】 Objective To compare the traditional method of treatment of pneumothorax,video-assisted thoracic technical evaluation of the early intervention of the clinical effects of spontaneous pneumothorax.Methods 156 cases of patients with spontaneous pneumothorax,directly into assisted thoracic surgery group and 61 cases of thoracic and wear closed drainage after-assisted thoracic surgery group 95 cases,the evaluation of clinical efficacy after two indicators.Results Direct-assisted thoracic surgery group and wear chest and closed drainage after-assisted thoracic surgery group in addition to the interim open heart surgery and hospital mortality rate of no differences(P>0.05),recurrence,pulmonary edema,sustained leak,Infections,surgical hospital,a direct indicator of drainage time-assisted thoracic surgery group were significantly better than the chest and wear closed drainage after-assisted thoracic surgery group(P=0.01～0.05).Conclusion Early intervention assisted thoracic surgery first spontaneous pneumothorax is safe,reliable,can shorten the highest degree of patient treatment,reduce recurrence,to alleviate the suffering of patients and reduce patient’s length of stay and treatment costs.更多还原