摘要
目的分析胸腔镜手术在COPD合并自发性气胸中的治疗效果和安全性。方法将2018年1月至2020年4月在院治疗的45例慢性阻塞性肺疾病合并自发性气胸患者随机分为两组,参照组20例用传统开胸手术治疗,观察组25例用胸腔镜手术治疗,对比临床疗效、相关指标、并发症。结果治疗后,参照组临床疗效比观察组差;观察组比参照组相关指标情况更好;观察组比参照组并发症少,(P<0.05)有统计学意义。结论用胸腔镜手术治疗可提高COPD合并自发性气胸的临床效果,减少术后并发症,提高治疗安全性,适合推广。
Objective Analyze the therapeutic effect and safety of thoracoscopic surgery in COPD with spontaneous pneumothorax.Methods 45 patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax treated in our hospital from January 2018 to April 2020 were randomly divided into two groups,20 patients in the reference group were treated with traditional thoracotomy,and 25 patients in the observation group were treated with thoracoscopic surgery to compare the clinical efficacy,related indicators and complications.Results After treatment,the clinical efficacy of the reference group was worse than that of the observation group.The observation group was better than the reference group in the relevant treatment indexes,and the observation group had less complications than the reference group(P<0.05),which was statistically significant.Conclusion Thoracoscopic surgery can improve the clinical effect of COPD with spontaneous pneumothorax,reduce postoperative complications,and improve the safety of treatment,which is suitable for popularization.
作者
林植楷
LIN Zhi-kai(Zhanjiang Central People's Hospital,Zhanjiang,Guangdong 524033)
出处
《智慧健康》
2021年第8期58-60,共3页
Smart Healthcare
关键词
COPD
气胸
肺组织
黏连
心脏
呼吸衰竭
术后感染
心率
COPD
Pneumothorax
Lung tissue
Adhesion
Heart
Respiratory failure
Postoperative infection
Heart rate
