首页|电视胸腔镜辅助手术治疗穿透性胸部损伤的临床应用

电视胸腔镜辅助手术治疗穿透性胸部损伤的临床应用

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目的 探讨经电视胸腔镜辅助手术(VATS)治疗开放性胸部损伤的临床应用价值.方法 回顾性分析162例穿透性胸部损伤病人的临床资料,其中采用VATS治疗84例(观察组),开放性手术治疗78例(对照组).比较两组手术时间、术后引流量、术后卧床时间及肺部感染发生率.结果 观察组手术时间、术后引流量、术后卧床时间及肺部感染发生率均低于对照组(t =2.13~3.07,x2=44.68,P<0.05).结论 应用VATS治疗穿透性胸部损伤较传统开放手术优势明显,值得临床应用.
CLINICAL VALUE OF VIDEO-ASSISTED THORACOSCOPIC SURGERY IN TREATMENT OF PENETRATING THORACIC TRAUMA
Objective To investigate the clinical value of video assisted thoracoscopic surgery (VATS) in the treatment of penetrating thoracic trauma.Methods A retrospective analysis was performed for the clinical data of 162 patients with penetrating thoracic trauma,among whom 84 underwent VATS (observation group) and 78 underwent open surgery (control group).The two groups were compared in terms of time of operation,postoperative drainage volume,duration of postoperative bed rest,and incidence rate of pulmonary infection.Results The observation group had a significantly shorter time of operation,a significantly lower postoperative drainage volume,a significantly shorter duration of postoperative bed rest,and a significantly lower incidence rate of pulmonary infection compared with the control group (t =2.13-3.07,x2 =44.68,P<0.05).Conclusion VATS has several advantages over conventional open surgery in the treatment of penetrating thoracic trauma and holds promise for clinical application.

video-assisted thoracoscopic surgerythoracic injuriessurgical procedures, minimally invasive

宋波、金健、王一帆、张彦、冷雪峰、胡敬国

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成都大学附属医院胸心外科,四川成都610081

电视胸腔镜手术 胸部损伤 外科手术,微创性

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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