
[摘要] 目的 分析電視胸腔鏡輔助下的胸部外傷手術治療效果。方法 隨機將方便選取該院2012年1月—2015年1月收治的80例胸部外傷手術患者分成對照組和實驗組,每組各40例,對照組患者采用傳統開胸手術治療,實驗組患者則采用電視胸腔鏡輔助開胸手術治療;對兩組患者的臨床治療效果進行觀察。結果 實驗組、對照組患者的臨床治療總有效率分別為100.0%(40/40)和90.0%(36/40),兩者比較差異有統計學意義(P<0.05);實驗組患者的手術時間(81.5±9.3)min、術中出血量(117.6±53.2)mL、引流時間(4.2±1.2)d均顯著少于對照組患者的(90.7±11.4)min、術中出血量(150.7±56.8)mL、引流時間(5.3±1.1)d(P<0.05)。結論 電視胸腔鏡手術具有微創、術后并發癥發生率低、患者恢復時間短等優點,能真正實現及早診治的目標;而且電視胸腔鏡手術能讓患者身心痛苦得以有效減輕,讓患者疾病得以更快康復,具有臨床推廣價值和應用價值。
[關鍵詞] 電視胸腔鏡;胸部外傷手術;治療效果
[中圖分類號] R655 [文獻標識碼] A [文章編號] 1674-0742(2016)11(a)-0185-03
[Abstract] Objective To analyze the surgical treatment of chest trauma VATS assisted. Methods Convenient selection our hospital from January 2012 to January 2015 were treated 80 cases of chest trauma surgery were divided into control and experimental groups, each group 40 cases in the control group were treated with conventional open surgery, patients in the experimental group is using TV thoracoscopic assisted thoracic surgery; clinical treatment groups were observed. Results The experimental group, the control group of patients with clinical total effective rate was 100.0% (40/40) and 90.0% (36/40) respectively, the difference was statistically significant (P <0.05); experimental group operative time (81.5 ± 9.3) min, blood loss (117.6 ± 53.2) mL, drainage time (4.2 ± 1.2) d were significantly less than the control group of patients (90.7 ± 11.4) min, surgery the amount of bleeding (150.7 ± 56.8) mL, drainage time (5.3 ± 1.1) d (P <0.05). Conclusion VATS is minimally invasive, low complication rate, patient recovery time is short, etc., can really achieve the goal of early diagnosis and treatment; and VATS allows to effectively reduce the pain and suffering of patients, so that patients disease able to recover faster, it has clinical value and use value.
[Key words] VATS; Chest trauma surgery; Treatment
在我國社會經濟快速發展以及人們生活水平不斷提升的過程中,人們對醫療水平的要求也在不斷提高。胸腔鏡作為胸部外科中一種具有代表性的手術,是上世紀胸外科界的一個重要突破。胸腔鏡外科手術作為現代高科技技術完美的結合,是通過高科技術手術裝備、器械以及現代電視攝影技術,在患者胸壁套管或者微小切口下來開展手術[1]。傳統開胸手術會嚴重損傷患者,具有較高的死亡率,因此胸腔鏡手術成為了胸外科將來發展的主要方向。該院對2012年1月—2015年1月收治80例胸部外傷手術患者,應用電視胸腔鏡輔助開胸手術治療,效果令人滿意,現報道如下。……