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目的探讨胸腔镜治疗老年自发性气胸的手术方式及效果。方法 70例老年自发性气胸患者,按照随机原则分为常规组和胸腔镜组,各35例。常规组患者接受传统开胸手术治疗,胸腔镜组患者接受胸腔镜治疗。比较两组患者治疗效果、手术切口长度、平均出血量、术后胸腔引流量、引流时间以及患者肺部感染发生率。结果胸腔镜组患者治疗总有效率为97.14%,高于常规组的77.14%,差异具有统计学意义(P<0.05)。胸腔镜组患者肺部感染发生率为8.57%,低于常规组的28.57%,差异具有统计学意义(P<0.05)。胸腔镜组患者手术切口长度短于常规组,平均出血量、术后胸腔引流量均少于常规组,引流时间短于常规组,差异均具有统计学意义(P<0.05)。结论胸腔镜治疗老年自发性气胸的手术效果确切,可有效改善患者病情和预后,缩小手术切口,减少出血量和引流量,降低肺部感染率,值得临床推广。
Objective To investigate the surgical methods and effects of thoracoscopic treatment of elderly spontaneous pneumothorax. Methods Seventy patients with senile spontaneous pneumothorax were randomly divided into routine group and thoracoscope group with 35 cases in each group. Patients in the conventional group received conventional thoracotomy and thoracoscopes were performed in the thoracoscopic group. The curative effect, length of incision, mean amount of bleeding, postoperative thoracic drainage, drainage time and the incidence of pulmonary infection were compared between the two groups. Results The total effective rate of treatment in thoracoscopic group was 97.14%, which was higher than that in conventional group (77.14%), the difference was statistically significant (P <0.05). The incidence of pulmonary infection in the thoracoscopic group was 8.57%, which was lower than that in the conventional group (28.57%), the difference was statistically significant (P <0.05). The length of surgical incision in thoracoscopic group was shorter than that in conventional group. The average amount of bleeding and postoperative thoracic drainage were less in the thoracoscopic group than those in the conventional group. The drainage time was shorter than that in the conventional group. The difference was statistically significant (P <0.05). Conclusions Thoracoscopy is effective in treating elderly patients with spontaneous pneumothorax, which can effectively improve the patient’s condition and prognosis, reduce the surgical incision, reduce the amount of bleeding and drainage, and reduce the rate of lung infection, which is worthy of clinical promotion.