Evaluation Of Curative Effects Of Smt, Vamt And Vats In Treatment Of Spontaneous Pneumothorax

Objective: Explore small incision surgical (SMT), thoracoscopic small incision operation (VAMT) and video-assisted thoracoscope surgery (VATS) in the treatment of spontaneous pneumothorax curative effect.Methods: Using retrospectively analyzed, Analysis clinical dates of 138 cases of spontaneous pneumothorax patients treated by SMT, VAMT or VATS form January 2004 to February 2011. According to the different ways of using surgical treatment, we divide all patients into SMT group (conventional small incision surgery), VAMT group (thoracoscopic small incision operation) and VATS group (video-assisted thoracoscope surgery). SMT group have 39 cases. VAMT group have 53 cases .VATS group have 35 cases. We compare blade length, intraoperative bleeding, operation time, postoperative drainage time, the amount of postoperative drainage, postoperative hospital stays , surgery cost and the postoperative complications of these three groups.Result: Compared with VAMT group,incision length, operative time, peri-operative bleeding, postoperative chest tube drainage time, postoperative lead flow and postoperative hospitalization time of SMT group have obvious difference, but there is no statistically significant difference on both In the surgical fee. Compared with VATS group,incision length, operative time, peri-operative bleeding, postoperative chest tube drainage time, postoperative lead flow, postoperative hospitalization time and surgical fee of SMT group have obvious differences. When VAMT group compared with VATS group, incision length, operative time, peri-operative bleeding, postoperative chest tube drainage time, postoperative lead flow and postoperative hospitalization time have obvious differences, but there are obviously statistically significant differences on both in the surgical fee. There are no statistically significant differences in the postoperative complications of these three groups. Conclusion: The effects of conventional transaxillary operation are big surgical trauma, more intraoperative bleeding and long hospitalization time. Small incision vats auxiliary armpit reduced the thoracoscope the cost of the operation. The treatment effect is similar to video-assisted thoracoscope surgery. The treatment effect of the video-assisted thoracoscope surgery is small trauma, faster recovery and fewer complications, etc.