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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。
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电视胸腔镜手术与开胸手术治疗自发性气胸的对比研究
Comparison of video-assisted thoracoscopic surgery and thoracotomy for spontaneous pneumothorax
微创医学 201003期 页码：214-215
作者机构： 广西医科大学第一附属医院胸心外科
基金信息：收稿日期：2010-02-2
- 中文简介
- 英文简介
- 参考文献
Objective To compare the outcomes of video-assisted thoraeoscopic surgery(VATS)and thoraeotomy (Tn)in the treatment of spontaneous pnetanothorax．Methods Observing the therapeutic efects of 88 cases of spontane- OU8 pneumothorax treat~ by VATS and 48 eases by TH．Results The meal operation time[(58±34．3)min VS(95± 30．7)rain]，vohline of bleed in the operation[(51±26．8)ml VS(93．3±74．4)m1]，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 diference 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 efective as TH in the treatment of spontaneous pneumothorax，whereas it call be less invasive and achieve a shorter operation time，less volume of bleed in the operation and shorter time of postoperative drainage．
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