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Single Operation Holes And3Aperture Thoracoscope Treatment Of Spontaneous Pneumothorax In Curative Effect Analysis

Posted on:2014-10-07Degree:MasterType:Thesis
Country:ChinaCandidate:Q ZhangFull Text:PDF
GTID:2254330392964738Subject:Surgery
Abstract/Summary:PDF Full Text Request
【Qbjective】: To single operation hole thoracoscopy and3hole thoracoscopictreatment of spontaneous pneumothorax as a prospective controlled study, the clinicalvalue of the holes thoracoscopy understand a single operation.【Methods】: we chose from January2010to January2013between spontaneouspneumothorax patients, from January2010, we will be in accordance with the principleof random grouping processing patients assigned to one group, the way is to use doublecount the draw method, is a patient in hospital after using computer randomly assignedNumbers, from1to50, odd number set is a single hole operation treatment ofspontaneous pneumothorax, and even set is3aperture thoracoscope surgery.Postoperative recovery effect, because of the large patient age difference is big, affectsobviously the result of the operation, so we choose age between16to55patients. Inaddition, for preoperative examination revealed multiple bullae emphysema patients outof the case. Statistical software PEMS3.1processing data using medicine.【Results】: the3aperture thoracoscope and single aperture thoracoscope operationgroup intraoperative anesthesia surgery patients are satisfied, single hole operationcompared with the traditional standard thoracoscope group, surgery due to a missing holeoperation, the total length of incision contrast in the two groups (P=0.0001<0.05havesignificant statistical significance; Intraoperative blood loss statistics, P=0.5932>0.5932, postoperative lead flow in average flow rate difference is big, observation group308.8±87.10ml, the control group was401.6±118.35ml, the final statistical P=0.0027, with significant statistical difference (P <0.05), the specific reason may be morethan one operation hole cause chest wall seep? Post-operative pain, total apparent achesand pains and small painful wound numbness (P=0.0039), the instructions on the chestwall, the influence of single hole is better than3aperture thoracoscope operation, there is statistical significance. Other indicators in operative time, postoperative hospitalizationtime has no obvious difference in such aspects.【Conclusion】: single aperture thoracoscope operation can be achieved with3aperture thoracoscope surgery effect, and minimally invasive, more can improve thepostoperative quality of life of patients.
Keywords/Search Tags:Single hole operation, thoracoscope, 3aperture thoracoscope, Minimally invasive techniques, Thoracic surgery
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