关键词: 外科学, 胸外科手术, 电视辅助, 方法, 腋下小切口, 对比研究

Abstract: Objective To explore the curative effects of axillary thoracotomy and videothoracoscopy in treatment for primary spontaneous pneumothorax. Methods 143 patients were randomly assigned to two groups:axillary thorarcotomy group (n=96) and videothoracoscopy group (n=47). All cases fit the established criteria for surgical indication. The surgical procedure consisted of blebs incision and plural mechanical abrasion in all cases, howerer, the apical pleurectomy was performed in axillary thoracotomy group. The indexes for evaluation of curative effects included:postoperative blood los s, respiratory function, postoperative pain and supplementary doses of analgesic s, postoperative complications, hospitalized days, resumption of normal activity , relapses of this disease and medical cost. Results No significant differences of the indexes mentiond above were found except medical cost (P>0.05) between two groups. Conclusion Two surgicel porcedures offer smilar results in the surgical treatment of primary spontaneous pneumothorax. Both techniques are equally safe, small traumatic, pain controllable, and there are little postoprerative complications and the relapse rate is very low.

Key words: surgery, thoracic surgery, video-assisted methods, axillary thoracotomy, comparative study