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目的观察电视胸腔镜手术(VATS)治疗自发性气胸对减轻术后肋间神经痛的效果。方法随机选取经VATS治疗的自发性气胸患者70例作为试验组;选取进行常规开胸手术治疗的自发性气胸患者70例作为对照组。比较2组患者术后第1~3天视觉模拟评分法(VAS)疼痛评分情况。结果试验组患者术后第1、2、3天VAS评分均低于对照组,差异均有统计学意义(P<0.001)。结论 VATS治疗自发性气胸可有效减轻患者术后肋间神经痛,利于患者康复。
Objective To observe the effect of video-assisted thoracoscopic surgery (VATS) on the treatment of idiopathic pneumothorax to reduce postoperative intercostal neuralgia. Methods Seventy patients with spontaneous pneumothorax treated by VATS were randomly selected as the experimental group. Seventy patients with spontaneous pneumothorax who underwent conventional thoracotomy were selected as the control group. Visual acuity score (VAS) pain scores were compared between the first and third days after operation in the two groups. Results The VAS score of the experimental group was lower than that of the control group on the 1st, 2nd, 3rd day after operation, the differences were statistically significant (P <0.001). Conclusion VATS treatment of spontaneous pneumothorax can effectively reduce postoperative intercostal neuralgia in patients with benefit of rehabilitation.