摘要
目的比较胸腔镜辅助小切口开胸术(VAMT)和全胸腔镜手术(VATS)治疗自发性气胸的疗效。方法 132例患者按手术方式分为VAMT组(n=79)和VATS组(n=53),疗效评价指标包括手术时间、术中出血、术后疼痛评分、术后引流时间、术后住院时间、手术费用、术后并发症与复发率。结果患者均治愈,与VATS组相比,VAMT组手术时间短、术后住院时间长、手术费用少(P<0.05);术中出血、术后疼痛评分、术后引流时间、术后并发症与复发率差异无显著性(P>0.05)。结论 VAMT治疗自发性气胸的疗效和VATS相同,但比VATS手术时间短、手术费用少,利于在基层医院普及。
【Objective】To compare the outcomes of video-assisted minithoracotomy （VAMT） and video-assisted thoracoscopic surgery （VATS） in the treatment of spontaneous pneumothorax.【Methods】A total of 132 patients were divided into VAMT （n =79） and VATS （n =53） groups.The operation time,blood loss during operation,score of postoperative pain,time of postoperative drainage,postoperative hospital stay,surgery cost,rate of complication and recurrence were compared between the two groups.【Results】All patients were cured.The operation time,postoperative hospital stay and surgery cost were significantly difference between VAMT and VATS groups （P 0.05）.No statistically difference existed in score of postoperative pain,time of postoperative drainage,blood loss during operation,rate of complication and recurrence between the two groups （P 0.05）.【Conclusion】VAMT is as effective as VATS,whereas it can achieve a shorter operation time and less surgery cost.VAMT is beneficial for popularity.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第11期1143-1146,共4页
China Journal of Endoscopy
关键词
电视胸腔镜手术
胸腔镜辅助小切口
气胸
pneumothorax
video-assisted thoracoscopic surgery
video-assisted minithoracotomy
