杨小光河南省鹤壁市人民医院胸外科，河南鹤壁　458000

胸腔镜辅助下小切口肺大疱切除术治疗气胸的疗效观察

杨小光
河南省鹤壁市人民医院胸外科，河南鹤壁458000

目的观察并分析胸腔镜辅助下小切口肺大疱切除术治疗气胸的疗效。方法随机选取鹤壁市人民医院胸外科2009年2月—2013年9月期间收治的68例气胸患者，根据治疗方法进行分组，观察组34例患者在胸腔镜的有效辅助下行小切口肺大疱切除术，对照组34例患者胸膜腔内置管抽气、注药疗法，比较2组患者临床治疗效果。结果观察组治疗时间（67.23±11.53）min、下床活动时间（4.62±1.63）d、术后引流量（263.43±63.47）mL、住院时间（7.32±3.16）d均明显比对照组治疗时间（95.98±16.47）min、下床活动时间（7.75±3.68）d、术后引流量（532.41± 86.52）mL、住院时间（14.52±5.93）d少，2组差异具有统计学意义（P＜0.05）；观察组术后并发症发生率、复发率分别为5.88%、0.00%，明显低于对照组（23.53%、14.71%），2组差异有统计学意义（P＜0.05）。结论在胸腔镜辅助下为自发性气胸患者行小切口肺大疱切除术，疗效显著，随访期间无复发病例，对患者良好预后具有促进作用。

胸腔镜；小切口肺大疱切除术；气胸

［Abstract］Objective To observe and analyze the thoracoscope assisted small incision pulmonary bulla resection in the treatment of pneumothorax curative effect.Methods Hebi City People's Hospital of thoracic surgery in February 2009-2013 September were 68 cases of pneumothorax were randomly selected，according to the methods of treatment of，the observation group 34 patients in thoracoscopic effective auxiliary down small incision pulmonary bulla resection，34 cases in the control group of patients with pleural cavity built-in tube suction，injection therapy，compared two groups of patients with clinical therapeutic effect.Results Observation treatment time（67.23±11.53）min，ambulation time （4.62±1.63）d，postoperative drainage volume after（263.43±63.47）ml，hospitalized time（732±3.16）d were significantly than the control group，treatment time（95.98±16.47）min，get out of bed activity time（7.75±3.68）d，postoperative drainage volume（532.41±86.52）mL of，hospitalization time（14.52±593）d less，the difference between the two groups has statistical significance（P＜0.05）；The incidence rate of postoperative complications and recurrence rate of the observation group were 5.88%and 0%respectively，which were significantly lower than those of the control group（23.53%，14.71%），and the difference between the two groups was statistically significant（P＜0.05）.Conclusion Under thoracoscopy assisted for spontaneous pneumothorax underwent small incision bulla resection，curative effect is distinct，cases without recurrence during follow-up，to patients with a good prognosis has role in promoting.

［Key words］Thoracoscopic resection of lung bullae；Small incision；Pneumothorax

现阶段，胸腔镜技术在临床得到广泛应用，成为临床相关疾病的主要治疗方法。气胸是指气体进入人体胸膜腔后出现的积气现象，既可以自发，也可由多种疾病引起，对患者身心健康具有显著影响［1］。所在医院在为气胸患者开展临床治疗时，在胸腔镜的辅助下行小切口肺大疱切除术，取得满意疗效。该研究随机选取鹤壁市人民医院胸外科2009年2月—2013年9月期间收治的68例气胸患者作为主要观察对象，分析小切口肺大疱切除术临床疗效，现报道如下。……