摘要
目的:探讨电视胸腔镜单操作孔方法行肺大疱切除术治疗气胸的临床价值。方法:2011年11月至2014年11月间,从我院抽样选取90例气胸病例作为研究对象,其中45例采用传统胸腔镜三孔法治疗(三孔组),另外45例采用胸腔镜单操作孔治疗(单孔组),对比分析其临床效果。结果:在术中出血量、手术时间、术后拔管时间、术后住院时间、总医疗费用及术后疼痛、伤口麻木、并发症方面,单孔组优于三孔组,差异比较有统计学意义(P<0.05);但在术后漏气时间、术后拔管时间及术后复发率方面,两组差异比较无统计学意义(P>0.05)。结论:电视胸腔镜单操作孔方法行肺大疱切除术治疗气胸,临床效果确切,对患者创伤低,且安全可靠,值得临床推广应用。
Objective： To explore the clinical value of video-assisted thoracoscopic operation of single hole method for pulmonary bulla resection in the treatment of pneumothorax. Methods： During the period of November 2011 to November 2014,we selected 90 cases of pneumothorax cases from our hospital sampling as the research object,using the traditional thoracoscopic three hole method to treat 45 cases,another 45 cases of single hole treated by video-assisted thoracoscopic,comparatively analysed the clinical effect. Result：In the bleeding volume,operation time,postoperative extubation time,postoperative hospitalization time,total medical cost and postoperative wound pain,numbness,complications,single hole group was better than the three holes group,the differences were statistically significant（ P〈0.05）; but in the postoperative extubation time and operation time of air leakage after operation,recurrence rate,the difference between the two groups showed no statistical significance（ P〉0.05）. Conclusion： VATS single hole method for resection of lung bullae treatment of pneumothorax,the exact clinical effects on patients with trauma,low,safe and reliable,worthy of clinical application.
出处
《河北医学》
CAS
2015年第10期1585-1588,共4页
Hebei Medicine
基金
国家自然科学基金
(编号:91750257)
关键词
胸腔镜
肺叶切除术
围手术期
早期周围型肺癌
Video assisted thoracoscopic surgery
Lobectomy
Peri operation period
Early peripheral lung cancer
