Analysis on clinical application of vedio-assisted thoracoscopic therapy for spontaneous pneumothorax with GIA surgical stapler
10.3969/J.ISSN.1672-8270.2015.12.033
- VernacularTitle:胸腔镜下腔内切割缝合器治疗自发性气胸临床应用分析
- Author:
Haihe ZHOU
;
Yin WANG
- Publication Type:Journal Article
- Keywords:
Thoracoscopy;
GIA surgical stapler;
Ligature;
Spontaneous pneumothorax
- From:
China Medical Equipment
2015;(12):103-106
- CountryChina
- Language:Chinese
-
Abstract:
analysis on 103 cases of spontaneous pneumothorax patients between September, 2012 and December,2014. Then the patients were randomly divided into two groups according to the different therapies on pulmonary bulla, 52 in GIA surgical stapler group and 51 in ligature group. Comparison: The postoperative situations of the two groups.Results: The operation time and intraoperative bleeding volume of observation group are obvious less than control group(t=7.58,t=16.87;P<0.01), but oxygen saturation of observation group is obvious higher than control group(t=1.34,P<0.01). The operation fee of observation group is obvious higher than control group(t=38.26, P<0.01).2 cases of postoperative recurrence in observation group(3.84%), but 10 cases in control group(19.60%).The two recurrence rates have statistical significance(x2=4.77,P<0.05). The postoperative complications incidence is 5.77% in observation group,but 21.56% in control group.The two The postoperative complications incidences have statistical significance(x2=5.47,P<0.05).Conclusion: As opposed to ligature, under the therapy for spontaneous pneumothorax with GIA surgical stapler by thoracoscopy, the operation time is shorter, intraoperative bleeding volume is less, and recurrence rate is lower in 2 years. Ligature fits the sporadic pulmonary bulla patients.
