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目的 评价VATS治疗自发性气胸的临床价值。方法 4 2例病人随机分为实验组和对照组。实验组应用VATS治疗 ,对照组常规开胸手术 ,比较两组平均术后住院日及疗效。结果 实验组平均术后住院日比对照组缩短 6 11d(P <0 0 5 ) ;实验组术后合并症比对照组减少 (P <0 0 5 ) ;实验组比对照组术后痛苦小 ,术后 4 8h停用止痛药 (P <0 0 5 )。结论 VATS治疗自发性气胸疗效肯定 ,平均术后住院日缩短、术后合并症少、痛苦小 ,优于常规开胸术。
Objective To evaluate the clinical value of VATS in the treatment of spontaneous pneumothorax. Methods Forty two patients were randomly divided into experimental group and control group. The experimental group was treated with VATS, and the control group was given conventional thoracotomy. The mean postoperative hospital stay and efficacy were compared between the two groups. Results The average postoperative hospital stay in experimental group was 6 11 days shorter than that in control group (P 0.05). The postoperative complications in experimental group were lower than those in control group (P0 05) Analgesics were discontinued 48 h after operation (P <0.05). Conclusion VATS treatment of spontaneous pneumothorax positive effect, the average postoperative hospital stay shortened postoperative complications less painful, superior to conventional thoracotomy.