医学临床研究
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医学临床研究  2019, Vol. 36 Issue (9): 1703-1706    DOI: 10.3969/j.issn.1671-7171.2019.09.013
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单孔胸腔镜与常规电视胸腔镜治疗创伤性气胸的疗效比较
赵勇a, 罗晓斌a, 胡杰伟b, 王超平a
重庆医科大学附属遂宁市中心医院: a. 呼吸中心一病区; b. 胸外科,四川 遂宁 629000
Comparison of the Efficacy of Single-port Thoracoscopy and Conventional Video-assisted Thoracoscopy in the Treatment of Traumatic Pneumothorax
ZHAO Yong, LUO Xiao-bin, HU Jie-wei,et al
Suining Central Hospital Affiliated to Chongqing Medical University,Suining 629000, Sichuan
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摘要 目的】比较单孔胸腔镜与常规电视胸腔镜治疗创伤性气胸的临床疗效。【方法】选择2016年8月至2018年8月本院收治的创伤性气胸患者70例作为研究对象,随机分为对照组(行常规电视胸腔镜治疗)及观察组(行单孔胸腔镜治疗)各35例,比较两组患者的围术期各指标,手术当天和术后3 d的血清炎性细胞因子及氧化应激相关指标水平变化情况,统计并发症发生率。【结果】观察组的术中出血量、术后引流量、术后胸管放置时间及住院时间均少于对照组,手术时间长于对照组,差异有统计学意义(P<0.05)。术后当天,两组患者的血清炎性细胞因子及氧化应激相关指标水平差异无统计学意义(P>0.05);术后3 d,两组患者的炎性细胞因子及氧化应激相关指标水平均较术后当天降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。【结论】与常规电视胸腔镜比较,单孔胸腔镜治疗创伤性气胸具有创伤小、恢复快、住院时间短等特点,且能更有效地减轻术后机体的炎症反应和应激反应,值得推广应用。
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赵勇
罗晓斌
胡杰伟
王超平
关键词 气胸/外科学    
Abstract:【Objective】To analyze the clinical efficacy of single-port thoracoscopic and video-assisted thoracoscopic surgery for traumatic pneumothorax, and provide more reference for clinical practice. 【Methods】A total of 70 patients with traumatic pneumothorax admitted to our hospital from August 2016 to August 2018 were enrolled. 35 patients underwent single-hole thoracoscopic surgery and 35 patients underwent video-assisted thoracoscopic surgery. The changes of serum inflammatory cytokines and oxidative stress related indicators in the perioperative period, the day of surgery and the 3 days after surgery were compared between the two groups, and the incidence of complication was statistically analyzed. 【Results】The bleeding volume, drainage volume, thoracic tube placement time and hospitalization time of the observation group were less than those of the control group, and the operation time was longer than that of the control group, with statistical significance (P<0.05). On the day after operation, there was no significant difference in serum inflammatory cytokines and oxidative stress related indicators between the two groups (P>0.05); on the 3rd day after operation, the levels of inflammatory cytokines and oxidative stress related indicators in the two groups were lower than those in the day after operation, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). 【Conclusion】Compared with conventional video-assisted thoracoscopy, single-port video-assisted thoracoscopy for traumatic pneumothorax has the characteristics of less trauma, faster recovery, shorter hospitalization time, and can more effectively reduce the inflammatory response and stress response of the body after operation, which is worthy of popularization and application.
Key wordsPneumothorax/SU
收稿日期: 2019-02-26     
PACS:  R561.4  
通讯作者: E-mail:652365266@qq.com   
引用本文:   
赵勇, 罗晓斌, 胡杰伟, 王超平. 单孔胸腔镜与常规电视胸腔镜治疗创伤性气胸的疗效比较[J]. 医学临床研究, 2019, 36(9): 1703-1706.
ZHAO Yong, LUO Xiao-bin, HU Jie-wei,et al. Comparison of the Efficacy of Single-port Thoracoscopy and Conventional Video-assisted Thoracoscopy in the Treatment of Traumatic Pneumothorax. JOURNAL OF CLINICAL RESEARCH, 2019, 36(9): 1703-1706.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.09.013     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I9/1703
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