胸腔镜下单操作孔手术切除肺大疱临床的研究.docVIP

胸腔镜下单操作孔手术切除肺大疱临床的研究 　　【摘要】 目的：研究分析胸腔?R下单操作孔手术切除肺大疱的安全性及临床效果。方法：选取2013年3月-2015年12月近两年来在笔者所在医院就诊的需手术治疗的肺大疱患者60例，按患者意愿将其分入治疗组和对照组。治疗组36例，采用单操作孔，对照组24例，采用三操作孔。观察记录两组患者手术时长、术后疼痛程度、住院时长、中转开胸、胸膜腔感染、术后血胸等并发症发生率等，并比较。结果：两组患者手术均进行顺利，术后均未出现中转开胸、胸膜腔感染、术后血胸等并发症，两组并发症发生率比较差异无统计学意义（P0.05）。经治疗，治疗组手术时长、住院时长均显著短于对照组（P0.05）。治疗组在术后疼痛程度上显著优于对照组（P0.05）。结论：胸腔镜下单操作孔手术显著缩短手术所需的时间，创口小减少手术风险，缩短恢复时间，减轻手术带来的创伤，缩短住院时长减少患者经济负担，降低手术后并发症发生率，临床效果显著，值得应用于临床治疗。 　　【关键词】 肺大疱； 单操作孔； 胸腔镜 　　doi：10.14033/j.cnki.cfmr.2017.2.009 文献标识码 B 文章编号 1674-6805（2017）02-0018-03 　　Resection of Lung Bullae by Single Portal with Video-Assisted/LIU Qiu-fan，FANG Zhi-chao，LI Xing-yun，et al.//Chinese and Foreign Medical Research，2017，15（2）：18-20 　　【Abstract】 Objective：To study the safety and clinical efficacy of thoracoscopic resection of lung bullae of single hole.Method：From March 2013 to December 2015，nearly two years in our hospital surgical treatment of 60 cases with pulmonary bulla，according to the wishes of patients they were divided into the treatment group and the control group.The treatment group of 36 cases，the use of single operation，the control group of 24 cases，the use of three operating holes.Two groups of patients with operation length，postoperative pain，hospital stay long，conversion to open chest，thoracic cavity infection，postoperative hemothorax complication occurrence probability were recorded and compared.Result：The operation of two groups of patients were performed smoothly，after the operation did not appear for conversion to open chest，thoracic cavity infection，postoperative hemothorax and other complications，complications of the two groups occurred probability difference was not statistically significant（P0.05）.The length and length of stay in the treatment group were significantly less than those in the control group（P0.05）.The postoperative pain in the treatment group was significantly better than that in the control group（P0.05）.Conclusion：Thoracoscopy under a single operation hole surgery is s