单孔法与三孔法电视胸腔镜治疗肺部良性疾病的比较

发布时间：2018-03-08 02:08

本文选题：单孔　切入点：胸腔镜手术　出处：《实用医学杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的:对比单孔胸腔镜手术与传统三孔胸腔镜手术在肺部良性疾病治疗中的优劣。方法:回顾性分析安徽省胸科医院胸外科2015年6月至2016年10月间由同一团队施行VAST治疗的66例肺良性疾病患者的临床资料,按具体手术方式将患者分为2组。单孔胸腔镜手术组32例,三孔胸腔镜组34例。比较2组患者的手术时间、术中出血量、术后24 h胸腔引流量、切口长度、术后引流管留置时间、术后第3天疼痛评分、并发症发生率等。结果:实验组与对照组2组患者手术均按预定方案获得成功,无中转开胸。单孔胸腔镜组和三孔胸腔镜组在术中出血量、术后24 h胸腔引流量、术后引流管留置时间、术后住院时间及术后并发症等指标上差异均无统计学意义(P0.05)。单孔组在切口长度、术后第3天疼痛评分优于三孔组(P0.05),但单孔组的手术时间较三孔组稍长(P0.05)。结论:单孔胸腔镜手术治疗肺部良性疾病是安全可行的,且较传统三孔胸腔镜手术更加微创和美观,值得推广。
[Abstract]:Objective: to compare the advantages and disadvantages of single-hole thoracoscopic surgery and traditional three-hole thoracoscopic surgery in the treatment of benign pulmonary diseases. Methods: retrospective analysis was performed by the same team from June 2015 to October 2016 in thoracic surgery of Anhui chest Hospital. Clinical data of 66 patients with benign pulmonary diseases treated with VAST. The patients were divided into two groups according to the specific operation methods: 32 patients in the single-hole thoracoscopic operation group and 34 in the three-hole thoracoscopic group. The operative time, intraoperative blood loss, thoracic drainage flow 24 hours after operation and incision length were compared between the two groups. Postoperative drainage tube indwelling time, postoperative pain score on the 3rd day, complication rate and so on. Results: the two groups of patients in the experimental group and control group were successfully operated according to the planned plan. There was no conversion to thoracotomy. The volume of intraoperative bleeding, the drainage flow 24 hours after operation, and the time of drainage tube retention were observed in the single-hole thoracoscopic group and the three-hole thoracoscopic group. There was no significant difference in postoperative hospital stay and postoperative complications between the two groups (P 0.05). The length of incision in the single hole group was higher than that in the control group. The pain score on the third day after operation was better than that in the three-hole group (P 0.05), but the operation time in the single hole group was a little longer than that in the third hole group. Conclusion: it is safe and feasible to treat benign pulmonary diseases with single hole thoracoscopy, and it is more minimally invasive and beautiful than traditional three-hole thoracoscopic surgery. It is worth popularizing.
【作者单位】：安徽医科大学第一附属医院心胸外科;安徽省胸科医院胸外科;
【基金】：安徽省卫生和计划生育委员会项目(编号:15t6006)
【分类号】：R655.3

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