摘要
摘要目的研究胸腔镜与传统开胸手术治疗创伤性气胸的临床疗效,以提升手术治疗质量.方法选取创伤性气胸患者１３８例,将其随机分为对照组与观察组各６９例,对照组采用传统开胸手术治疗,观察组采用胸腔镜手术治疗,对比两组疗效.结果对比两组患者的术中出血量、术后引流量、止痛药用量、胸管留置时间、住院时间,差异显著,均有统计学意义(P＜０．０５);对比两组患者术后第１、３、５天的血清CRP水平,差异显著,均有统计学意义(P＜０．０５).结论胸腔镜手术治疗创伤性气胸的临床疗效显著,值得推广.关键词胸腔镜;传统开胸手术;创伤性气胸;临床疗效ClinicalcurativeeffectofthoracicendoscopyandtraditionalopenchestsurgeryfortreatmentoftraumaticpneumothoraxAbstractObjectiveTostudytheclinicaleffectofthetreatmentoftraumaticpneumothoraxbythoracicsurgeryandthoracicsurgeryinordertoimprovethequalityofsurgicaltreatment．Methods１３８casesoftraumaticpneumothoraxwererandomlydividedintocontrolgroupandobservationgroup,６９casesinconＧtrolgroupweretreatedwithtraditionalopenchestsurgery,theobservationgroupwastreatedwiththoracicsurgery,comparedwithtwogroupsofcurativeeffect．Resultscomparedwiththetwogroupsofpatientswithbleedingvolume,postoperativedrainage,dosageofanalgesics,chesttubeindwellingtime,hospitalizationtime,thedifferencewasstatisticallysignificant(P＜０．０５);comparedwiththetwogroupsofpatientsfirst,３,５daysofserumCRPlevel,thedifferencewasstaＧtisticalKlyeysiwgonrifdiscant(P＜０．０５)．Conclusiontheclinicalcurativeeffectofthetreatmentoftraumaticpneumothoraxisnotable,itisworthpromoting．Thoracicendoscopy;Traditionalopenchestsurgery;Traumaticpneumothorax;Clinicalefficacy中图分类号R７３４．５文献标识码B文章编号１００１－５３０２(２０１５)０９－０８１１－０２
出版日期
2015年09月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
