电视辅助胸腔镜手术治疗穿透性胸部创伤
Video-assisted thoracoscopic surgery for penetrating thoracic trauma.
作者信息
Jin Jian, Song Bo, Lei Yue-Chang, Leng Xue-Feng
机构信息
Department of Cardiothoracic Surgery, Affiliated Hospital of Chengdu University, Chengdu 610081, China.
出版信息
Chin J Traumatol. 2015;18(1):39-40. doi: 10.1016/j.cjtee.2014.07.003.
PURPOSE
For penetrating thoracic trauma, there is no consensus on whether operative exploration or conservative treatment is better. In this study, we compared the clinical effect of video-assisted thoracoscopic surgery (VATS) and thoracotomy on the patients with penetrating thoracic trauma.
METHODS
From January 2000 to December 2010, 123 patients with penetrating thoracic trauma were treated in Affiliated Hospital of Chengdu University. Based on the inclusion criteria, 80 patients were enrolled and randomly assigned into VATS and thoracotomy group.
RESULTS
The operation time, amount of bleeding and drainage in VATS group were all lower than traditional operation (p < 0.05).
CONCLUSION
The results indicate that VATS has the merits of shorter operation time, non-blind area, exact surgical path and less bleeding comparing with traditional operation.
目的
对于穿透性胸部创伤，手术探查还是保守治疗更好尚无共识。在本研究中，我们比较了电视辅助胸腔镜手术（VATS）和开胸手术对穿透性胸部创伤患者的临床效果。
方法
2000年1月至2010年12月，成都大学附属医院收治了123例穿透性胸部创伤患者。根据纳入标准，80例患者入选并随机分为VATS组和开胸手术组。
结果
VATS组的手术时间、出血量和引流量均低于传统手术（p<0.05）。
结论
结果表明，与传统手术相比，VATS具有手术时间短、无盲区、手术路径准确、出血少等优点。
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