单孔法与双孔法胸腔镜肺大疱切除术治疗自发性气胸的效果比较

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Abstract Objective To explore the advantages and disadvantages of single-port method and double-portthoracoscopic pulmonary bulla resection in the treatment of spontaneous pneumothorax.Methods From December 2009 to December 2015,88 patients with spontaneous pneumothorax in our hospital were divided into single-port group(treated by singleport resection,n=48)and double-port group (treated by double-port resection,n=40).Perioperative situation(operation time,blood loss,volume of drainage,drainage indwelling time,length of hospitalization,mortality rate and VAS pain score), complications rate and recurrence rates,patients′satisfaction were compared between two groups.Results Operation time between two groups had no statistical differences(P＞0.05).Blood loss,volume of drainage,drainage indwelling time,length of hospitalization and VAS pain score ofthe single-portgroup was lower than that of the double-port group (P＜0.05).There was no mortality and recurrent patients in two groups,there was 1 case of pulmonary leakage in each group,while the complications rate had no statistically difference(P＞0.05).But satisfaction rate of the single-port group was significantly higher than that of the double-port group(P＜0.05).Conclusion The method of single-port and double-port have the same therapeutic effect and prognosis effect.But the single-port method has smaller trauma,less pain,faster recovery,and higher patients′satisfaction rate,which is worth to be promoted.

Key words： Single-port Double-port Thoracoscopic surgery Spontaneous pneumothorax

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XU Guang. Effect comparison of single-port method and double-port thoracoscopic pulmonary bulla resection in the treatment of spontaneous pneumothorax[J]. 中国当代医药, 2017, 24(8): 40-42.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I8/40

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