糜烨东 虞桂平 蒋薛伟 黄斌 单一波

    [摘要] 目的 探討单孔胸腔镜下肺大疱切除术治疗自发性气胸的临床效果。 方法 自2018年6月～2019年11月，选取江阴市人民医院胸心外科收治的自发性气胸患者50例，根据手术方式分为两组，行单孔胸腔镜下肺大疱切除术者为观察组(n=25)，行单操作孔胸腔镜下肺大疱切除术者为对照组(n=25)。比较两组患者术前知晓率，记录并分析两组患者的手术时间、术中出血量、胸腔置管时间、胸腔置管总引流量、术后1 d疼痛评分、住院时间等情况，比较两组患者术后满意度。 结果 两组患者术前知晓率均为88%，差异无统计学意义(P>0.05)。观察组患者的手术时间、术中出血量、胸腔置管时间、胸腔置管总引流量、术后1 d疼痛评分及住院时间均少于对照组，除手术时间外，差异均有统计学意义(P0.05)。 结论 单孔胸腔镜下肺大疱切除术治疗自发性气胸效果佳，缩短患者胸腔置管时间和住院时间、减少术中出血量、减轻疼痛，患者术后满意度更高，值得进一步在临床中推广。

    [关键字] 单孔法;胸腔镜;自发性气胸;肺大疱

    [中图分类号] R561.4? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2020)33-0077-04

    [Abstract] Objective To explore the clinical effect of single-pore thoracoscopic bullectomy in the treatment of spontaneous pneumothorax. Methods From June 2018 to November 2019， A total of 50 patients with spontaneous pneumothorax who were admitted to the Department of Cardiothoracic Surgery at Jiangyin People's Hospital were selected. They were divided into two groups according to different surgical methods. The patients undergoing bullectomy under single-pore thoracoscopy were assigned into the observation group(n=25) ......