Shi Juan, Wang Yucun, Geng Wenzhen
Juan Shi, Department of Cardiothoracic Surgery, Binzhou People's Hospital, Shandong, 256610, China.
Yucun Wang, Department of Rheumatology and Immunology, Binzhou People's Hospital, Shandong, 256610, China.
Pak J Med Sci. 2019 Sep-Oct;35(5):1238-1242. doi: 10.12669/pjms.35.5.514.
To compare clinical effects of thoracoscopic surgery and thoracotomy in the treatment of thoracic trauma.
Two hundred and fourteen patients with thoracic trauma were randomly divided into a control group and an observation group, 107 in each group. The control group was treated with conventional thoracotomy, while the observation group was treated with thoracoscopic surgery. The operation-related indications, hospitalization, postoperative complications and inflammatory factor level were observed and compared between the two groups. The study was conducted from April 2016 to February 2018.
The duration of operation of the observation group was shorter than that of the control group, the amount of bleeding during operation of the observation group was less than that of the control group, and the postoperative visual analogue score (VAS) of the observation group was lower than that of the control group; the difference were statistically significant (P<0.05). The hospitalization time, time of off-bed activity and time of resuming daily life of the observation group were shorter than those of the control group, and the amount of drainage fluid of the observation group within 24 hours after operation was less than that of the control group; the differences had statistical significance (P<0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05). The levels of C-reactive protein (CRP), tumor necrosis factor (TNF)-a and interleukin (IL)-6 in both groups after surgery were higher than those before surgery, but the indicators in the observation group were lower than those in the control group (P<0.05).
Thoracoscopic surgery can reduce pains of patients, speed up recovery, and reduce incidence of surgical infection in the treatment of thoracic trauma. It is a safe and effective treatment method, which is worth clinical application.
比较胸腔镜手术与开胸手术治疗胸部创伤的临床效果。
将214例胸部创伤患者随机分为对照组和观察组，每组107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。观察并比较两组的手术相关指标、住院情况、术后并发症及炎症因子水平。研究于2016年4月至2018年2月进行。
观察组手术时间短于对照组，术中出血量少于对照组，术后视觉模拟评分（VAS）低于对照组；差异有统计学意义（P<0.05）。观察组住院时间、下床活动时间及恢复日常生活时间均短于对照组，术后24小时内观察组引流量少于对照组；差异有统计学意义（P<0.05）。两组术后并发症发生率比较，差异无统计学意义（P>0.05）。两组术后C反应蛋白（CRP）、肿瘤坏死因子（TNF）-α及白细胞介素（IL）-6水平均高于术前，但观察组指标低于对照组（P<0.05）。
胸腔镜手术治疗胸部创伤可减轻患者疼痛，加速康复，降低手术感染发生率。是一种安全有效的治疗方法，值得临床应用。
