Comparison of clinical effect of different operation methods the patients wiht thoracic trauma
10.3760/cma.j.issn.1008-6706.2010.18.010
- VernacularTitle:不同手术方法治疗胸部外伤的疗效比较
- Author:
Zhigang HE
;
Yanlai LI
;
Jinglong WANG
- Publication Type:Journal Article
- Keywords:
Thoracic injury;
Thoracic surgical procedures;
Pleuroscopy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(18):2468-2469
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the difference of clinical effect on the thoracic trauma patients between conventional thoracotomy(CTH) and video-assisted thoracoscopic surgery (VATS), and the possible mechanism.Methods Two hundred thoracic trauma patients were enrolled from 2007 January to 2010 March,and divided into VATS group( n =98) and CTH group( n = 102) according to the operative methods. The levels of serum high sensitive C-reactive protein(hs-CRP) ,interleukin-6 (IL--6) and tumor necrosis factor-α (TNF-α) were determined before and after operation. Intraoperative blood lost, operative time, postoperative analgesic time and hospitalization time were recorded and analyzed. Results There were no differences on the levels of inflammatory factors between the two groups before operation(P＞0.05) ,but the levels of inflammatory factors of VATS group were significantly decreased than that of CTH group after operation ( all P < 0. 05). Intraoperative blood lost, operative time, postoperative analgesic time and hospitalization time of VATS group were also lower than that of CTH group ( all P < 0. 05 ). Conclusion Compared with conventional thoracotomy, video-assisted thoracoscopic surgery had the characteristics of less intraoperative blood lost, shorter operative and postoperative analgesic time, and rapid recovery, could be relative to less inflammatory reaction.
