胸腔鏡手術(shù)在原發(fā)性自發(fā)性氣胸術(shù)后復(fù)發(fā)的外科治療研究

胸腔鏡手術(shù)在原發(fā)性自發(fā)性氣胸術(shù)后復(fù)發(fā)的外科治療研究胸腔鏡手術(shù)在原發(fā)性自發(fā)性氣胸術(shù)后復(fù)發(fā)的外科治療研究摘要目的：探究胸腔鏡手術(shù)在原發(fā)性自發(fā)性氣胸術(shù)后復(fù)發(fā)的外科治療中的應(yīng)用與效果。方法：收集我院2018年6月至2020年6月診斷為原發(fā)性自發(fā)性氣胸的患者，經(jīng)常規(guī)治療無效或術(shù)后復(fù)發(fā)的18例，其中7例采用胸腔鏡手術(shù)治療，11例采用傳統(tǒng)的開放式手術(shù)治療。分析兩組治療效果并比較手術(shù)風(fēng)險和并發(fā)癥。結(jié)果：胸腔鏡手術(shù)組平均手術(shù)時間（52±8.2）min，平均術(shù)中出血量（30±5.2）ml，術(shù)后平均住院天數(shù)（4.3±0.9）天，而開放式手術(shù)組平均手術(shù)時間（82±14.5）min，平均術(shù)中出血量（90±15.2）ml，術(shù)后平均住院天數(shù)（7.7±1.6）天。兩組治療效果無差異。胸腔鏡手術(shù)組無傳統(tǒng)開放式手術(shù)常見的胸壁疼痛，術(shù)后恢復(fù)迅速，而且減少了手術(shù)切口，減少了機(jī)會感染的可能性，減輕了病人的創(chuàng)傷。胸腔鏡手術(shù)組無術(shù)后較重的并發(fā)癥。結(jié)論：胸腔鏡手術(shù)在原發(fā)性自發(fā)性氣胸術(shù)后復(fù)發(fā)的外科治療中應(yīng)用廣泛，具有較好的治療效果和少量創(chuàng)傷的特點(diǎn)，可以減輕術(shù)后病人的疼痛感和縮短恢復(fù)時間。關(guān)鍵詞：原發(fā)性自發(fā)性氣胸；胸腔鏡手術(shù)；開放式手術(shù)；治療效果AbstractObjective:Toexploretheapplicationandefficacyofthoracoscopicsurgeryinthesurgicaltreatmentofrecurrentprimaryspontaneouspneumothoraxaftersurgery.Methods:Inthisstudy,wecollected18patientsdiagnosedwithprimaryspontaneouspneumothoraxfromJune2018toJune2020inourhospital,andwhoshowednoresponsetoroutinetreatmentorrecurrenceaftersurgery.Ofthese,7underwentthoracoscopicsurgeryand11underwenttraditionalopensurgery.Thetherapeuticeffectsofbothgroupswereanalyzed,andsurgicalrisksandcomplicationswerecompared.Results:Thethoracoscopicgrouphadanaverageoperationtimeof(52±8.2)min,anaverageintraoperativebloodlossof(30±5.2)mL,andapostoperativeaveragehospitalstayof(4.3±0.9)days,whiletheopensurgerygrouphadanaverageoperationtimeof(82±14.5)min,anaverageintraoperativebloodlossof(90±15.2)mL,andapostoperativeaveragehospitalstayof(7.7±1.6)days.Therewasnodifferenceintherapeuticeffectsbetweenthetwogroups.Thethoracicoscopicsurgerygrouphadnochestwallpaincommonintraditionalopensurgery,andpostoperativerecoverywasrapid.Inaddition,thesurgeryreducedthechanceofinfectionbyreducingthenumberofsurgicalincisionsandreducedtraumatothepatient.Therewerenomajorpostoperativecomplicationsinthethoracicoscopicsurgerygroup.Conclusion:Thoracoscopicsurgeryiswidelyusedinthesurgicaltreatmentofrecurrentprimaryspontaneouspneumothoraxandhasgoodtherapeuticeffectsandminimaltrauma,whichcanreducepostoperativepainandshortenrec