【摘要】 目的比较电视胸腔镜手术(video-assisted thoracic surgery,VATS)与常规开胸手术(thoracotomy,TH)治疗自发性气胸的疗效。方法对88例电视胸腔镜手术(VATS)和48例常规开胸手术(TH)治疗自发性气胸的效果进行观察。结果两组患者手术顺利,治愈出院,无手术死亡。VATS组与TH组的手术时间分别是(58±34.3)min、(95±30.7)min(t=-6.469 7,P<0.05);术中出血量分别是(51±26.8)mL、(93.3±74.4)mL;术后胸腔引流留置时间分别是(1.5±1.1)d和(2.8±1.5)d;术后复发率分别为2.3%(2/88)和2.1%(1/48)(P>0.05);VATS组的手术时间、术中出血量比TH组明显减少,术后胸腔闭式引流管放置时间较TH组缩短,差异有统计学意义;术后复发率无明显差别。结论电视胸腔镜手术治疗自发性气胸的创伤小、手术时间短、手术出血少、术后恢复快,疗效与开胸手术无明显差别。更多还原

【Abstract】 Objective To compare the outcomes of video-assisted thoracoscopic surgery(VATS) and thoracotomy(TH) in the treatment of spontaneous pneumothorax.Methods Observing the therapeutic effects of 88 cases of spontaneous pneumothorax treated by VATS and 48 cases by TH.Results The mean operation time[(58±34.3)min vs(95±30.7)min],volume of bleed in the operation[(51±26.8)ml vs(93.3±74.4)ml],time of postoperative drainage [(1.5±1.1)d vs(2.8±1.5)d]in the VATS group were significantly shorter than that in the TH group.No statistically difference existed in the rate of reoccurrence between the two groups [2.3%(2/88) vs 2.1%(1/48),P>0.05].Conclusion VATS is as effective as TH in the treatment of spontaneous pneumothorax,whereas it can be less invasive and achieve a shorter operation time,less volume of bleed in the operation and shorter time of postoperative drainage.更多还原