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目的:比较电视胸腔镜手术(VATS)与传统开胸手术治疗创伤性血气胸合并多发肋骨骨折的临床疗效。方法:将我科收治的85例外伤致血气胸合并多发肋骨骨折的患者随机分为两组,其中VATS手术组(观察组)40例,采用VATS进行治疗;传统开胸手术组(对照组)45例,采用传统胸部后外侧切口,经肋间进胸探查并治疗。结果:两组患者治愈率均为100%,疗效差异不显著;观察组手术时间、术中出血量、住院时间均明显少于对照组(P<0.05)。结论:传统开胸手术和VATS手术均有较好疗效,但VATS优势更明显,值得临床推广应用。
Objective: To compare the clinical effects of VATS and conventional thoracotomy in the treatment of traumatic pneumothorax combined with multiple rib fractures. Methods: 85 patients with traumatic pneumothorax complicated with multiple rib fractures admitted to our department were randomly divided into two groups, of which 40 cases were treated with VATS and the other were treated with VATS. The traditional thoracic surgery group (control group) 45 cases, using the traditional chest posterolateral incision, probe into the chest through the intercostal space and treatment. Results: The cure rate was 100% in both groups, and the difference was not significant. The operation time, intraoperative blood loss and hospital stay in the observation group were significantly less than those in the control group (P <0.05). Conclusion: Traditional thoracotomy and VATS have better curative effect, but the advantages of VATS are more obvious and worthy of clinical application.