摘要
目的探讨全胸腔镜肺叶切除术应用于支气管扩张症患者的治疗效果。方法将2011年2月至2014年2月平煤神马医疗集团总医院收治的60例行全胸腔镜肺叶切除术的支气管扩张症患者作为观察组,并纳入62例同期行传统开胸手术的支气管扩张症患者作为对照组,对比两组患者的疗效及术中、术后情况。结果观察组手术时间为(129.3±42.4)min,术中出血量为(157.2±70.2)m L,术后胸腔引流量为(869.3±332.4)m L,拔管时间为(6.6±3.3)d,术后住院时间为(7.5±2.2)d,与对照组的手术时间[(148.3±58.4)min]、术中出血量[(230.1±100.4)m L]、术后胸腔引流量[(1806.3±458.4)m L]、拔管时间[(9.8±4.6)d]及术后住院时间[(11.2±5.5)d]比较,差异均有统计学意义(P<0.05或P<0.01)。观察组治疗总有效率为95.0%(57/60),术后并发症发生率为33.3%(20/60),与对照组的总有效率(93.6%,58/62)、并发症发生率(38.7%,24/62)比较,差异无统计学意义(P>0.05)。结论全胸腔镜肺叶切除术治疗支气管扩张症患者可以达到开胸手术的治疗效果,且手术损伤轻微、术后恢复快,具有微创价值。
Objective To explore the effect of the thoracoscopic lobectomy in the treatment of patients with bronchiectasis. Methods In General Hospital of Pingmei Shenma Medical Group,60 bronchiectasis patients who received thoracoscopic lobectomy were included as observation group,while another 62 bronchiectasis patients who received conventional open chest operation were included as control group,and the curative effect and intraoperative and postoperative conditions of the two groups were compared. Results The operation time,the amount of intraoperative bleeding,postoperative drainage volume,extubation time,postoperative hospitalization time of the observation group were（ 129. 3 ± 42. 4） min,（ 157. 2 ± 70. 2） m L,（ 869. 3 ±332. 4） m L,（ 6. 6 ± 3. 3） d,（ 7. 5 ± 2. 2） d respectively,comparing with the corresponding data of the control group[（ 148. 3 ± 58. 4） min,（ 230. 1 ± 100. 4） m L,（ 1806. 3 ± 458. 4） m L,（ 9. 8 ± 4. 6） d,（ 11. 2 ±5. 5） d],the differences were statistically significant（ P 0. 05 or P 0. 01）. The effective rate of the observation group was 95. 0%（ 57 /60）,postoperative complication rate was 33. 3%（ 20 /60）,and comparing with the corresponding data of the control group were 93. 6%（ 58 /62）,38. 7%（ 24 /62）,there was no significant difference（ P 0. 05）. Conclusion The total thoracoscopic lobectomy operation of bronchiectasis patients can reach the same effect as open chest operationn,with a slighter damage and faster postoperative recovery,thus has minimally invasive value.
出处
《医学综述》
2015年第16期3052-3054,共3页
Medical Recapitulate
