局限性小切口开胸术在胸外科中的应用

目的：通过对标准的胸外科手术切口与局限性小切口的对比，了解局限性小切口的优点。方法：146例患者，随机分为2组，分别行标准的胸外科手术切口与局限性小切口，观察2组术中失血量，术后3天胸腔引流量，住院时间，住院花费及术后疼痛程度。进行对比及统计学分析。结果：局限性小切口组的术中失血量，术后3天胸腔引流量，住院时间，住院花费及术后疼痛程度明显好于标准的胸外科手术切口组。结论：局限性小切口能够减少术中失血量及术后引流量。缓解术后疼痛，缩短住院时间，减少住院花费，是一值得推广的方法。

A Clinical Study of Lobectomy with Minimally Invasive Incision

Objective: To study the application of minimally invasive incision for thoracotomy with effects comparable to that of conventional incision. Methods: A total of 146 patients were prospectively randomized into minimally invasive incision group (n=73, average length of incision, 12.5 cm) and standard thoracic incision group (control group, n=73). Intra-operative bleeding volume, 3 days postoperative drainage volume, hospital stay, hospital cost and postoperative pain were compared between the two groups. Results: All of the indices in minimally invasive incision group were significantly better than those of the control group (P<0.05). Conclusions: minimally invasive incision can achieve excellent clinical result and has such advantages as reduced bleeding volume, pain and hospital stay, less hospital cost. This procedure meets the requirements of thoracotomy and provides an alternative for routine thoracotomy.