吉林大学学报(医学版) ›› 2013, Vol. 39 ›› Issue (2): 367-370.doi: 10.7694/jldxyxb20130240

• 基础研究 • 上一篇    下一篇

微小单操作孔胸腔镜技术治疗自发性气胸的手术方法及效果评价

张强1,赵岩2,程鲲鹏1,林风武1,戚良晨1,闫继东1,崔建华1,韩振国1   

  1. 1. 吉林大学中日联谊医院胸外科,吉林  长春  130033;2.  吉林大学第二医院内分泌科,吉林 长春  130041
  • 收稿日期:2012-12-20 出版日期:2013-03-28 发布日期:2013-03-26
  • 通讯作者: 林风武(Tel:0431-89876732,E-mail: fengwulin@hotmail.com) E-mail:fengwulin@hotmail.com
  • 作者简介:张 强(1987-),男,吉林省长春市人,在读医学硕士,主要从事胸部微创手术的基础及临床研究。
  • 基金资助:

     吉林省科技厅国际合作项目资助课题(3D512K323430)

Evaluation on curative effect of minimal-single-operating-port thoracoscopy in  treatment of spontaneous pneumothorax

ZHANG Qiang1,ZHAO Yan2, CHENG Kun-peng1,LIN Feng-wu1,QI Liang-chen1,YAN Ji-dong1,CUI Jian-hua1,HAN Zhen-guo1   

  1. 1.Department of Thoracic Surgery,China-Japan Union Hospital,Jilin University,Changchun,130033,China;2. Department of Endocrinology,Second Hospital,Jilin University,Changchun 130041,China
  • Received:2012-12-20 Online:2013-03-28 Published:2013-03-26

摘要: 目的:探讨微小单操作孔电视胸腔镜手术(VATS)技术治疗自发性气胸的手术方法并阐明其临床优势。方法:选择96例自发性气胸并行手术治疗的病例进行回顾分析,根据所在医疗组及所行术式不同分为微小单操作孔(MVATS)组23例(采用微小单操作孔胸腔镜手术)和传统胸腔镜(VATS)组73例(采用双操作孔或传统单操作孔VATS),对2组患者的平均手术时间、平均术中出血量、平均术后住院时间、平均术后胸引管留置时间及术后疼痛分级方面进行对比分析。结果:MVATS组患者平均手术时间、平均术中出血量、平均术后住院时间、平均术后胸引管留置时间与VATS组比较差异无统计学意义(P>0.05),术后疼痛发生率低于VATS组(P<0.05)。结论:微小单操作孔VATS治疗自发性气胸临床疗效确切,能够有效降低术后疼痛发生率,外形更为美观。

关键词: 电视胸腔镜, 微小单操作孔, 自发性气胸

Abstract: Abstract:Objective To explore the method of  minimal-single-operating-port video assisted thoracic surgery (VATS) in treatment of spontaneous pneumothorax and to clarify  its clinical advantages. Methods Retrospective analysis of 96 patients with spontaneous pneumothorax  underwent VATS was performed.The patients were divided into two groups according to different  medical treatment groups and the different surgical method:minimal-single-operating-port VATS(MVATS) group  including 23 cases treated by minimal-single-operating-port VATS approach and conventional VATS group including 73 cases treated by two-operating-port VATS or conventional single-operating-port VATS. The mean operation time,mean intraoperative blood loss and average postoperative hospital stay,average postoperative chest tube duration and postoperative pain grades of the patients in two groups were analyzed and compared. Results The mean intraoperative blood loss,average postoperative hospital stay,and average postoperative chest tube duration had no significant difference between MVATS group and VATS group(P>0.05);however,the incidence of  postoperative pain in MVTS group was significantly lower than that in VATS group (P<0.05). Conclusion Compared with two-operating-port VATS and conventional single-operating-port VATS,minimal-single-operating-port VATS has the similar clinical efficacy and better cosmetic result,and reduces the postoperative pain effectively in treatment of spontaneous pneumothorax.

Key words: video assisted thoracic surgery, minimal-single-operating-port, spontaneous pneumothorax 

中图分类号: 

  • R655