胸腔镜在胸外伤救治中的临床效果分析

摘要

Objective To investigate clinical efficacy of VATS in the treatment of thoracic trauma. Methods The clini-cal data of 65 patients with chest trauma underwent VATS surgery in our hospital from January 2010 to June 2013 were retrospectively analysed.Video-assisted thoracoscopic thoracic inner exploration,intrathoracic bleeding,lung gap repair, coagulated hemothorax dissection and so on were used in all patients. Results 65 patients were successfully performed laparoscopic surgery.There was no deaths occurred.Three patients treated with laparotomy due to pulmonary vascular injury.The mean operative time was (78.6±24.9)min,the average blood loss was (84.5±10.6)ml,the mean postoperative chest drainage was(146.8±31.4)ml,and the average removal time of chest tube was 1.6 d.All patients without significant complications after followed up 12 months. Conclusion VATS is an effective mathod in diagnosis and treatment of chest trauma,which has minimally invasive,faster recovery,fewer complication and other advantages.%目的：探讨胸腔镜在胸外伤救治中的临床效果。方法回顾性分析2010年1月~2013年6月本院救治的胸外伤患者65例行胸腔镜修复手术的临床资料，所有患者均行电视胸腔镜内探查、胸腔内止血、肺裂口修补术、凝固性血胸清除术等。结果65例患者均顺利进行腹腔镜手术，术中未出现死亡病例，其中3例由于肺大血管损伤而中转开腹，平均手术时间(78.6±24.9) min，平均术中出血量(84.5±10.6) ml，平均术后胸腔引流量(146.8±31.4)ml，平均胸腔引流管拔除时间1.6 d，术后随访12个月，均无明显并发症。结论胸腔镜是胸外伤的有效诊断及治疗手段，其具有微创、恢复快、并发症少等优势。