中国内镜杂志2012，Vol.18Issue(2)：140-142,3.
创伤后积留血胸未引流与胸腔引流后经胸腔镜手术比较
Comparison of video-assisted thoracoscopic surgery with undrained and surgery after tube thoracostomy with retained posttraumatic hemothorax
李叙 1魏小东 1栗兰凯 1昌其 1谢骏 1潘伟1
作者信息
- 1. 解放军第101医院胸外科,江苏无锡214044
- 折叠
摘要
Abstract
[Objective] To compare the therapeutic effect of direct video-assisted thoracospic surgery (VATS) and VATS after tube thoracostomy for the management of posttraumatic hemothorax. [Methods] A total of 129 patients with retained hemothorax underwent direct VATS (VATS group, n=58) or VATS after tube thoracostomy (Tube group, n=71). The operation time, blood loss, and postoperative duration chest drainage were statistically analyzed. [Results] All the operations successed. Compared to the tube group, the VATS group had a shorter operation time (P <0.01), fewer assisted incision (P <0.05), less bleeding volume (P <0.01), shorter duration chest drainage (P< 0.01), less atelectasis (P<0.05), and shorter postoperative hospital stay (P<0.01). [Conclusion] Direct VATS for posttraumatic hemothorax can offer faster recovery and fewer complications, and shorter postoperative hospital stay.关键词
电视胸腔镜手术/积留血胸/创伤Key words
video-assisted thoracoscopic surgery/ retained hemothorax/ trauma分类
医药卫生引用本文复制引用
李叙,魏小东,栗兰凯,昌其,谢骏,潘伟..创伤后积留血胸未引流与胸腔引流后经胸腔镜手术比较[J].中国内镜杂志,2012,18(2):140-142,3.
