【摘要】 目的:比较电视胸腔镜手术(VATS)与传统开胸手术治疗创伤性血气胸合并多发肋骨骨折的临床疗效。方法:将我科收治的85例外伤致血气胸合并多发肋骨骨折的患者随机分为两组,其中VATS手术组(观察组)40例,采用VATS进行治疗;传统开胸手术组(对照组)45例,采用传统胸部后外侧切口,经肋间进胸探查并治疗。结果:两组患者治愈率均为100%,疗效差异不显著;观察组手术时间、术中出血量、住院时间均明显少于对照组(P<0.05)。结论:传统开胸手术和VATS手术均有较好疗效,但VATS优势更明显,值得临床推广应用。更多还原

【Abstract】 Objective:To compare the curative effect on traumatic hemopneumothorax combined multiple rib fractures between video-assisted thoracoscopic surgery and traditional thoracotomy.Methods:Eighty-five patients with traumatic hemopneumothorax combined multiple rib fractures were randomly divided into two groups.The experimental group(40 cases) was operated by video-assisted thoracoscope,and the control group(45 cases) was given traditional thoracotomy.Results:The recovery rate of both groups was 100%.Compared with control group,the VATS had a significant advantage of shorter operating time,less intraoperative hemorrhage and declined hospitalization time.Conclusion:The two methods have similar therapeutic effect.In addition,the VATS method,which is prior to traditional way,should be popularized clinically.更多还原