胸腔镜与传统开胸手术治疗肺包虫病的疗效对比分析

发布时间：2018-04-30 02:08

本文选题：肺包虫病 + 胸腔镜　；参考：《新疆医科大学》2016年硕士论文

【摘要】：目的:比较胸腔镜下与传统开胸下行肺包虫内囊摘除术的临床疗效。方法:收集新疆维吾尔自治区人民医院胸外科自2007年1月至2013年12月符合纳入标准手术治疗的肺包虫病患者87例,其中行胸腔镜辅助下手术(腔镜组)40例,开胸手术下(开胸组)47例,对两种手术方法的手术时间、出血量、术后拔管时间、术后住院时间、术后并发症和复发情况等方面进行比较。结果:胸腔镜组手术时间(89.25+17.74)min,少于开胸组(120.10+14.76)min,差异有统计学意义(P0.05);胸腔镜组术中出血量(135.50+29.87)ml,少于开胸组(151.06+34.27)ml,差异有统计学意义(P0.05);胸腔镜组术后拔管时间(6.63+1.61)天,明显少于开胸组(9.61+2.13)天,差异有统计学意义(P0.05);胸腔镜组术后住院时间(9.30+1.91)天,明显少于开胸组(13.36+2.58)天,差异有统计学意义(P0.05);并发症发生率的比较:胸腔镜组与开胸组之间无统计学意义(P0.05);远期随访,两组比较,复发率差异无统计学意义(P0.05)。结论:胸腔镜下行肺包虫内囊摘除术,手术时间短,术中出血量少、创伤小、带胸腔引流管时间短、术后恢复快,具有一定的优势,值得推广应用,扩大了胸腔镜在胸外科中的应用范围。
[Abstract]:Objective: to compare the clinical effect of thoracoscopic and traditional thoracotomy on pulmonary hydatid cyst excision. Methods: from January 2007 to December 2013, 87 patients with pulmonary hydatid disease were collected from chest surgery department of Xinjiang Uygur Autonomous region people's Hospital from January 2007 to December 2013. The operative time, bleeding volume, extubation time, postoperative hospitalization time, postoperative complications and recurrence of the two methods were compared under thoracotomy (47 cases in the thoracotomy group). Results: the operative time of thoracoscopic group was 89.25 17.74 min, less than that of thoracoscopic group 120.10 14.76 min, the difference was statistically significant (P 0.05), the intraoperative bleeding volume of thoracoscopic group was 135.50 29.87ml, less than that of thoracoscopic group (151.06 34.27ml), the difference was significant (P0.055.The time of extubation in thoracoscopic group was 6.631.61d). The postoperative hospitalization time of thoracoscopic group was 9.301.91) days, which was significantly less than that of thoracotomy group (13.36.2.58) days. There was no significant difference in the incidence of complications between thoracoscopic group and thoracotomy group (P 0.05), and there was no significant difference in recurrence rate between the two groups during long term follow-up (P 0.05). Conclusion: the operation time is short, the amount of blood loss is less, the wound is less, the time of thoracic drainage is short, and the postoperative recovery is quick, which is worth popularizing. The application of thoracoscopy in thoracic surgery has been expanded.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R655.3

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