电视胸腔镜治疗双侧肺包虫的同期与分期手术分析

发布时间：2018-05-10 05:52

本文选题：电视胸腔镜手术 + 双侧　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨电视胸腔镜手术(video-assisted thoracscopic surgery,VATS)在双侧肺包虫囊肿摘除中同期手术与分期手术的治疗效果。方法:回顾性分析1996年1月至2016年1月新疆医科大学第一附属医院应用电视胸腔镜施行同期或分期手术摘除双侧肺包虫囊肿患者51例的临床资料,男30例,女19例,年龄13~58(36.5±5.6)岁,依据不同病情分为同期手术组(21例)和分期手术组(30例),比较行双侧同期肺包虫手术的效果。对两组的手术时间、术中总出血量、术后拔管时间、术后住院总天数、住院总费用、并发症等指标进行比较。结果:51例患者均顺利完成手术,无术中及术后死亡患者,4例分期手术患者一期术后对侧包虫囊肿破裂,行二期开胸手术治疗。同期手术组的手术时长、术后拔除胸管时间、术后总住院天数、住院总费用均优于分期手术组(P0.05),两组手术的术中出血量的比较无统计学意义(P0.05),术后随访6个月~5年,两组均有1例复发,同期手术组的围手术期并发症显著低于分期手术组,差异有统计学意义(P0.05)。结论:VATS同期或分期治疗双侧肺包虫病疗效确切,行双侧同期手术效果更佳。
[Abstract]:Objective: to evaluate the efficacy of video-assisted thoracscopic Surgeryus (VATS) in the simultaneous and staged resection of bilateral pulmonary hydatid cysts. Methods: the clinical data of 51 patients with bilateral pulmonary hydatid cyst treated by video-assisted thoracoscopy from January 1996 to January 2016 in the first affiliated Hospital of Xinjiang Medical University were retrospectively analyzed. There were 30 males and 19 females aged 135836.5 卤5.6 years. According to the different conditions, 21 cases were divided into two groups: the simultaneous operation group (21 cases) and the staged operation group (30 cases). The results of bilateral synchronous pulmonary hydatid surgery were compared. The operation time, total blood loss, postoperative extubation time, total hospitalization days, total hospitalization expenses and complications were compared between the two groups. Results 51 cases of hydatid cyst rupture were successfully completed in 51 cases, and 4 cases without operative and postoperative death were treated with second stage thoracotomy for rupture of the contralateral hydatid cyst. In the same period, the duration of operation, the time of removing chest tube, the days of postoperative hospitalization and the total cost of hospitalization in the operation group were all better than those in the stage operation group (P 0.05). There was no significant difference in blood loss during operation between the two groups (P 0.05), and the follow-up period was 6 months to 5 years. One case recurred in both groups, and the perioperative complications in the operation group were significantly lower than those in the staging group (P 0.05). ConclusionThe effect of the treatment of bilateral pulmonary hydatid disease by the same stage or by stages is effective, and the effect of bilateral operation at the same time is better than that of the control group.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R655.3

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