中国冶金工业医学杂志

胸腔镜与腋下小切口治疗自发性气胸的对比分析

单位：1包头市九原区医院胸外科内蒙古包头 014060 2大连医科大学附属第二医院胸外科

分类号：中图分类号：R 56

出版年,卷(期):页码：2015,32(2):135-137

摘要：

目的比较胸腔镜与腋下小切口两种手术方式治疗自发性气胸的疗效。方法对我科通过2009年3月至2013年3月胸腔镜手术治疗的自发性气胸患者52例作为研究组，按1∶2比例随机抽取同时期的腋下小切口手术104例作为对照组，通过观察其手术时间、术后带管时间、术后住院时间、手术费用、术后应用杜冷丁止痛率、术后并发症发生率、术后复发率等指标评价两种手术方式的疗效。结果156例患者手术均取得成功，无围术期死亡，两组患者手术顺利，均治愈出院。胸腔镜组在术后止痛药物用量方面少于腋下小切口组（P＜005），而住院费用腋下小切口组明显低于胸腔镜组（P＜005）。结论两种手术方式治疗自发性气胸均安全有效，胸腔镜治疗自发性气胸疼痛轻，止痛药物应用少，腋下小切口组既微创又经济。

ObjectiveTo compare the effects of thoracoscopic and subaxillary minithoracotomy for spontaneous pneumothoraxMethodsIn our hospital from March 2009 to March 2013，52 cases underwent thoracoscopic operation were collected as the study groupMeanwhile，104 cases twice that in the study group underwent subaxillary minithoracotomy were selected randomly as the control groupTherapeutic effects were evaluated by the indexes such as the operation time，postoperative intubation time，postoperative hospitalization time，cost of operation，postoperative analgesic rate by dolantin，incidence of postoperative complications，postoperative recurrence rateResultsThere was no perioperative death in the 2 groupsAll cases were underwent successful operations and curedThe amount of the postoperative analgesic drug in the study group was less than that in the control group (P＜005)，while the hospitalization expense in control group was significantly lower than that in the study group (P＜005)ConclusionThe two operation modes are safe and effective in treating spontaneous pneumothoraxLess pain and application of analgesic drugs can be found in thoracoscopic operation，while less expense and microinvasion with subaxillary minithoracotomy

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参考文献：

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