摘要
目的:探讨单孔胸腔镜技术在肺大泡治疗中应用的可行性及具体疗效。方法:选取肺大泡病人共50例,随机分成2组。分别采用单孔胸腔镜手术(单孔组26例)及传统两孔或三孔胸腔镜手术(对照组24例)。比较2组病人术后恢复的各项指标及并发症的发生率。结果:2组病人均成功完成手术并治愈出院,无围手术期死亡病例。单孔组病人肛门排气时间、下床活动时间、住院时间均明显短于对照组(P <0. 01),而2组胸引管拔除时间差异无统计学意义(P> 0. 05)。2组肺大泡手术的常见并发症发生率差异无统计学意义(P> 0. 05)。结论:将单孔胸腔镜技术应用于肺大泡的治疗中,可以有效地降低病人术后的各种应激反应,促进机体快速康复,减少住院时间及治疗费用。
Objective： To explore the feasibility and effect of single-port thoracoscopy in the treatment of pulmonary bullae.Methods： Fifty patients with pulmonary bullae were randomly divided into the single-port group（26 cases） and control group（24 cases）.The single-port group were treated with the thoracoscopic surgery,and the control group were treated with the traditional two or three ports thoracoscopic surgery.The incidence rate of complications and the indexes of postoperative recovery were compared between the two groups.Results： The operations in two groups were successfully completed,the patients were cured,and no perioperative death occurred.The anal exhaust time,bed time and hospitalization time in single port group were significantly shorter than those in control group（ P 〈0.01）,and the differences of the extubation time and incidence rate of complications between the two groups were not statistically significant（ P 〉0.05）.Conclusions： The effect of single-port thoracoscopy in the treatment of pulmonary bullae is good,which can effectively reduce the postoperative stress response of patients,promote the rapid body recovery,and reduce time and cost of treatment.
作者
张松
李洪林
ZHANG Song;LI Hong-lin(Department of Cardiothoracic Surgery,The Third People′s Hospital of Bengbu,Bengbu Anhui 233000,China)
出处
《蚌埠医学院学报》
CAS
2018年第9期1151-1153,共3页
Journal of Bengbu Medical College
关键词
肺大泡
胸腔镜
单孔
pulmonary bullae
thoracoscopy
single-port
