摘要
目的探讨电视胸腔镜下肺叶切除术的临床效果。方法比较2005年1月至2010年12月105例电视胸腔镜辅助小切口行肺叶切除术(胸腔镜组)与84例常规开胸行肺叶切除术(开胸组)手术及术后并发症发生情况。结果胸腔镜组手术时间(144.77±23.75)min,与开胸组(152.25±19.96)min比较差异无统计学意义(t=-1.331,P=0.188);胸腔镜组术后住院时间(10.03±2.13)d,明显短于开胸组(12.14±2.46)d(χ2=-3.650,P=0.001);并发症的比较:术后漏气的发生率两组比较差异无统计学意义(χ2=0.021,P=0.886);胸腔镜组术中出血量(193.71±44.66)ml,明显少于开胸组(228.57±41.96)ml(t=-3.161,P=0.002);胸腔镜组术后第1天的引流量(234.29±44.97)ml,明显少于开胸组(272.86±40.72)ml(t=-3.526,P=0.001);术后疼痛程度的比较两组差异有统计学意义(χ2=35.080,P=0);术后上肢活动是否受限两组比较差异有统计学意义(χ2=20.160,P=0);胸腔镜组术后拔管时间(7.17±2.12)d,明显短于开胸组(9.00±2.41)d(t=-3.194,P=0.002)。结论电视胸腔镜辅助胸壁小切口肺叶切除术安全、可靠,与开胸手术比较,具有手术出血少、术后引流量少、术后疼痛轻、上肢活动不受限及术后胸管引流时间短等优点。
Objective To investigate the clinical efficacy of thoraeoscopy-assisted mini-incision lobectomy. Methods Between Jan. 2005 and Dec. 2010, 105 thoracoscopy-assisted mini-incision lobectomy, 84 patients underwent traditional open surgery for lobectomy, to compare the safety and efficacy of thoracoscopy-assisted mini-in6ision lobectomy and the indications of this procedure. Results There were no statistic difference between the two groups of the surgery time （ 144.77 ± 23.75 vs 152.25 ± 19.96, t = -1.331＂, P 〉 0.05 ）. The length of stay in hospital, thoracoscopic group less than traditional group （ 10.03 ± 2.13 vs 12.14 ± 2.46, t = -3.650 , P = 0.001 ）. The comparison of complications. There were no statistic difference between the two groups of the air leak （ X2 = 0.021, P = 0.886 ）. The bleeding during the operation, thoracoscopic group less than traditional group （ 193.71 ± 44.66 vs 228.57 ± 41.96 , t = -3.161 , P = 0.002 ）. The drainage of first day after surgery, thoracoscopic group less than traditional group （ 234.29 ± 44.97 vs 272.86 ± 40.72 , t = - 3.526 , P = 0.001 ）. The pain level, thoracoscopic group less than traditional group （ X2= 35.080 , P = 0 ）. The limit of upper limb, activition, thoracoscopic group less than traditional group（ X2 = 20.160 , P = 0 ）. The time of extubation, thoracoscopic group less than traditional group （ 7.17 ± 2.12 vs 9.00 ± 2,41, t = -3.194 , P= 0.002 ）, Conclusions The thoracoscopy-assisted mini-incision lobectomy is a safe and feasible surgical procedure, comparing with traditional opening, completely thoracoscopic lobectomy can reduce the bleeding of surgery, the drainage of first day after surgery, the pain level, the time of extubation, and the upper limb activition are not limited.
出处
《中华腔镜外科杂志（电子版）》
2012年第1期37-40,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
电视胸腔镜
肺叶切除术
Video-assisted thoracoscopic surgery
Lobectomy
