【摘要】 目的:探讨单操作孔电视胸腔镜治疗自发性气胸的临床应用价值。方法:对33例自发性气胸患者(观察组)使用单操作孔电视胸腔镜手术,并选取同期采用三孔胸腔镜的自发性气胸患者23例(对照组),对比2组的手术时间、术中出血量、手术费用、术后胸管拔除时间、术后并发症等。结果:观察组术中出血量和手术费用均少于对照组(P<0.05);2组手术时间、术后胸管拔管时间、术后并发症及住院时间差异均无统计学意义(P>0.05~P=1.000)。结论:单操作孔电视胸腔镜能够顺利完成不需要复杂操作的胸腔镜手术,没有增加手术时间,符合微创的理念,值得在微创胸腔外科中推广。更多还原

【Abstract】 Objective: To investigate the clinical application value of single utility hole video-assisted thoracoscopic operation in the treatment of spontaneous pneumothorax. Methods: Fifty-five patients with spontaneous pneumothorax were treated with single utility hole video-assisted thoracoscopic operation( observation group,33 cases) and three utility holes video-assisted thoracoscopic operation( control group,23 cases),respectively. The operation time,bleeding volume,operation cost,and postoperative extubation time and complications between two groups were compared. Results: The bleeding volume and operation cost of observation group were lower than the control group( P < 0. 05),the differences of the operation time,postoperative extubation time and complications between two groups were not statistically significant( P > 0. 05 to P = 1. 000). Conclusions: The single utility hole video-assisted thoracoscopic operation is single,and do not increase the operation time,which is consistent with the concept of minimally invasive,and worth promoting in minimally invasive thoracic surgery.更多还原