全胸腔镜与开胸手术治疗肺隔离症的疗效对比
发布时间：2018-05-18 11:51
本文选题：胸腔镜 + 开胸手术 ； 参考：《中国微创外科杂志》2017年04期
【摘要】：目的探讨全胸腔镜与开胸手术治疗肺隔离症(pulmonary sequestration,PS)的疗效。方法回顾性分析我院2003年1月~2016年3月手术治疗的48例肺隔离症资料,根据患者经济条件,行全胸腔镜手术18例,开胸手术30例。行肺叶切除或隔离肺切除术。比较2组的术中出血量、术后当日胸腔引流量、术后镇痛时间、胸腔引流时间及术后住院时间。结果与开胸组比较,全胸腔镜组术中出血少[(56.1±50.4)ml vs.(120.0±54.2)ml,t=-3.813,P=0.000],术后当日胸腔引流量少[(160.0±56.0)ml vs.(280.0±65.0)ml,t=-6.100,P=0.000],术后镇痛时间短[(2.4±1.2)d vs.(7.6±1.9)d,t=-9.650,P=0.000],胸腔引流时间短[(2.8±1.0)d vs.(5.7±1.5)d,t=-6.755,P=0.000],术后住院时间短[(6.5±2.6)d vs.(10.1±2.8)d,t=-4.160,P=0.000]。2组手术时间差异无统计学意义(P0.05)。术后发生肺部感染、心律失常、肺不张全胸腔镜组分别为1、0、1例,开胸组为3、2、1例,2组差异无统计学意义(P0.05)。结论全胸腔镜手术治疗肺隔离症较传统开胸手术创伤小,术中出血少,疼痛轻,恢复快,住院时间短,是一种可靠安全的手术方式。
[Abstract]:Objective to evaluate the efficacy of total thoracoscopy and thoracotomy in the treatment of pulmonary sequestration. Methods from January 2003 to March 2016, 48 cases of pulmonary sequestration were analyzed retrospectively. According to the economic conditions of the patients, 18 cases underwent total thoracoscopic surgery and 30 cases underwent thoracotomy. Lobectomy or isolation pneumonectomy is performed. The amount of intraoperative bleeding, postoperative drainage volume, postoperative analgesia time, thoracic drainage time and postoperative hospitalization time were compared between the two groups. 缁撴灉涓庡紑鑳哥粍姣旇緝,鍏ㄨ兏鑵旈暅缁勬湳涓嚭琛，
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