Clinical effect of thoracoscope in the treatment of patients with chest trauma

ZHANG Xi-jun; WANG Feng; LI Chun-cheng

doi:10.3969/j.issn.1009-4237.2016.12.007

Abstract：Objective To compare the effect of thoracoscope and thoracotomy in treating patients with chest trauma.Methods A total of 152 patients with thoracic trauma from Jan .2014 to Mar.2015,were randomly divided into two groups , with 76 cases in each group .Open chest group was treated with conventional thoracotomy ,and the experimental group was treated with thoracoscopic surgery .The operation time , intraoperative blood loss ,postopera-tive visual analogue scale ( VAS) ,postoperative recovery and the level of various inflammatory factors were compared between the two groups .Results The blood loss ,operation time ,postoperative VAS score in the experimental was (172.23 ±23.28)mL,(45.68 ±11.26)h and (3.51 ±1.14),respectively,which were lower than the open chest group (352.26 ±34.39)mL,(95.32 ±18.26)h,(7.18 ±1.87)d.In the experimental group,the hospitalization time was (6.13 ±2.09) d,the ambulation time was (1.69 ±0.23) d,the daily life recovery time was (9.58 ± 1.25)d,which were shorter than the open chest group (8.16 ±1.25)d,(3.25 ±1.07)d,(17.26 ±3.64)d.The drainage volume 24h after operation was (253.21 ±52.14)mL,which was less than the open chest group [280.32 ±52.31)mL,P<0.05],and the difference was statistically significant .There was no significant difference in the occurrence of complications after operation in the two groups ( P >0.05 ) .After surgery , the C reaction protein (CRP) ,TNF-alpha and IL-6 in both groups were higher than those before the surgery ,but the index in the experir-nental group were lower than those of the open chest group (P<0.05),and the difference was statistically signifi-cant.Conclusion Thoracoscope in the treatment of thoracic trauma can reduce the pain of patients ,obtain quick recovery after operation , and reduce the incidence of surgical infection , which is an effective and safe operation method.