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目的 :对肺大疱合并自发性气胸患者实施胸腔镜手术治疗方式,分析探讨该手术方式的临床治疗效果。方法 :从我院2014年7月至2016年7月收治的所有肺大疱合并自发性气胸患者中选取58例作为本次的研究对象,分为对照组和观察组,对照组29例,观察组29例。对照组行传统开胸治疗方案进行治疗,观察组行电视辅助胸腔镜手术治疗方案进行治疗,对比分析两组手术方案的手术耗时、术中出血量、住院时长、止痛药物使用情况、术后并发症等方面情况。结果 :实施不同的手术方案之后,观察分析发现,两组手术方式都取得了一定的手术效果,但观察组在术中出血量、住院时长、止痛药物使用情况、治疗费用、术后并发症等治疗情况上都要明显优于对照组,P<0.05,具有统计学意义。结论 :肺大疱合并自发性气胸患者采用电视胸腔镜手术治疗方式比传统的开胸手术方式效果更好,不仅能够减轻患者治疗期间的痛苦,加速患者的健康恢复,并且手术之后发生并发症的情况也是非常少见,值得推广。
OBJECTIVE: To perform thoracoscopic surgery on patients with pulmonary bullae complicated with spontaneous pneumothorax and to analyze the clinical effect of the operation. Methods: From our hospital from July 2014 to July 2016 admitted to all lung blisters with spontaneous pneumothorax 58 patients were selected as the study object, divided into control group and observation group, control group, 29 patients were observed Group of 29 cases. The control group underwent conventional thoracotomy, and the observation group underwent TV-assisted thoracoscopic surgery. The operative time, intraoperative blood loss, length of hospital stay, pain medication use, Complications and so on. Results: After the implementation of different surgical options, the observation and analysis found that both groups achieved some surgical results, but the intraoperative blood loss, length of hospital stay, pain medication use, treatment costs, postoperative complications and so on Treatment should be significantly better than the control group, P <0.05, with statistical significance. Conclusion: Video-assisted thoracoscopic surgery in patients with pulmonary bullae complicated with spontaneous pneumothorax is more effective than traditional thoracotomy. It not only can reduce the pain during treatment, accelerate the recovery of patients, but also have complications after surgery The situation is also very rare and worth promoting.