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目的分析临床电视胸腔镜手术(VATS)治疗自发性气胸(SP)的应用情况,探讨单操作孔电视胸腔镜手术的临床应用,为胸腔镜技术的开展提供更大的方向。方法回顾性分析60例自发性气胸手术治疗患者的临床资料,其中单操作孔电视胸腔镜手术30例(A组),传统电视胸腔镜手术(两个或两个以上操作孔)组30例(B组),对两组患者的临床指标进行比较。主要是手术时间、术中出血量、胸导管留置时间、术后住院时间以及患者的满意度调查。结果两组患者手术均成功,手术时间上没有明显差别,术中出血量、胸导管留置时间、术后住院时间及患者的满意度有着明显的差别。结论单孔胸腔镜手术,比常规胸腔镜少一个切口,创伤将更小,是未来微创外科的一个发展方向。
Objective To analyze the clinical application of VATS in the treatment of spontaneous pneumothorax (SP) and to explore the clinical application of single-hole video-assisted thoracoscopic surgery (VATS) in order to provide a bigger direction for the development of thoracoscope. Methods The clinical data of 60 patients with spontaneous pneumothorax were retrospectively analyzed. Thirty patients (group A) underwent thoracoscopic surgery of a single operation hole and 30 patients (group of two or more than two manipulation holes) underwent conventional video-assisted thoracoscopic surgery B group), the clinical indicators of two groups of patients were compared. Mainly surgery time, intraoperative blood loss, thoracic duct indwelling time, postoperative hospital stay and patient satisfaction survey. Results The two groups of patients were operated successfully. There was no significant difference in operative time between the two groups. There was a significant difference in intraoperative blood loss, thoracic duct indwelling time, postoperative hospital stay and patient satisfaction. Conclusion Single-hole thoracoscopic surgery, less than conventional thoracoscopic incision, trauma will be smaller, is a future development of minimally invasive surgery.