文档介绍：开胸手术与胸腔镜手术治疗自发性气胸的效果比较[摘要]目的开胸手术与胸腔镜手术治疗自发性气胸的效果比较。方法选自2009年10月一2014年12月该院收治的自发性气胸进行手术的患者作为研究对象,共收集105例,分别为开胸组(n=60)和胸腔镜组(n=45)这两组。对两组患者均使用静脉吸入复合麻醉,并让患者呈90。侧卧位。对开胸组患者使用开胸手术,对胸腔镜组患者采用胸腔镜手术。结果相比于开胸组,胸腔镜组患者在手术时间、术中出血量、切口长度、引流管留置时间和住院天数方面的指标均明显要低,差异有统计学意义()o结论和开胸手术相比较,胸腔镜手术治疗自发性气胸,患者出血少、恢复快、手术时间短、术后并发症和复发率低,值得医师和患者优先选择,但手术材料费用偏高。[关键词]开胸手术;胸腔镜手术;治疗;自发性气胸;效果比较[中图分类号]R4[文献标识码]A[文章编号]1674-0742(2015)04(c)-0030-03[Abstract]paretheopenchestoperationwithvideo-,atotalof105patientswithspontaneouspneumothoraxinourhospitalwereselectedastheresearchobject,anddividedintotwogroups,respectivelythoracotomygroup(n=60)andvideo-assistedthoracoscopicgroup(n二45).Ontwogroupsofpatientsusingintravenousinhalationanesthesia,,VATSgroupofpatientsusingvideo-,theVATSgrouppatientsintheoperationtime,amountofbleedingduringtheoperation,incisionlength,drainagetubeindwellingtimeandhospitalstayweresignificantlylowerintermsofindicators,withsignificantdifference().paredwiththeopenchestoperation,thoracoscopicoperationtreatmentofspontaneouspneumothoraxwithlessbleeding,quickrecovery,shortoperationtime,plicationsandlowrecurrencerate,isworthtophysicianandpatientpr