胸腔镜手术治疗自发性气胸的临床效果

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Abstract Objective To explore the clinical effect of thoracoscopic surgery in the treatment of spontaneous pneumothorax. Methods A total of 50 patients with spontaneous pneumothorax admitted to Iron Coal General Hospital of Liaoning Health Industry Group from January 2019 to January 2020 were selected as the research objects and divided into the control group (25 cases) and the experimental group (25 cases) according to the random number table method.The control group was treated with conventional thoracotomy, while the experimental group was treated with thoracidoscopic surgery. And the clinical effect, intraoperative indicators, disease indicators and visual analogue scale (VAS)scores of the two groups were compared. Results The total effective rate of the experimental group was higher than that of the control group, with statistically difference (P<0.05). The operation time, drainage retention time and hospitalization time of the experimental group were shorter than those of the control group, and the intraoperative blood loss of the experimental group were less than those of the control group, the differences were statistically significant (P<0.05). Before the surgery, there were no statistically significant differences in quality of life, mental status, disease improvement,and treatment compliance scores between the two groups (P>0.05). After the surgery, the quality of life, mental status,disease improvement, and treatment compliance scores of the two groups were higher than before in this group, and the quality of life, mental status, disease improvement, and treatment compliance scores of the experimental group were higher than those of the control group, the differences were statistically significant (P<0.05). The VAS scores at 12, 24,36 and 48 hours after operation in the experimental group were lower than those in the control group, the differences were statistically significant (P<0.05). Conclusion Thoracoscopic surgery used in the clinical treatment of spontaneous pneumothorax could achieve certain clinical results. It is worth the application and promotion.

Key words： Spontaneous pneumothorax Video-assisted thoracoscopy Surgical treatment Clinical study Prognosis study

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LIU Ke-xin. Clinical effect of thoracoscopic surgery in the treatment of spontaneous pneumothorax[J]. 中国当代医药, 2021, 28(21): 88-90.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I21/88

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