摘要
目的 探讨胸腔镜肺叶切除术治疗肺部良性疾病的可行性和临床应用价值。方法 方便选取2017年8月-2021年8月广西医科大学附属民族医院收治的56例肺部良性疾病患者56例作为研究对象,将入选患者按照随机数表法分成两组,各28例。开胸组实施开胸肺叶切除术,胸腔镜组行胸腔镜肺叶切除术治疗。对两组术前后围手术期相关指标、心肺功能指标、并发症开展评估对比。结果 胸腔镜组术中失血量、手术时长、术后引流量、疼痛评分以及住院时长均优于开胸组,差异有统计学意义(P<0.05)。在术后6个月时,胸腔镜组肺功能指标FEV1、FVC、VC、MVV及心功能指标SV、EF、FS、MVCF均优于开胸组,差异有统计学意义(P<0.05)。两组术后并发症发生率相比(7.14%vs 28.57%),胸腔镜组明显更低,差异有统计学意义(χ^(2)=4.383,P<0.05)。结论 胸腔镜肺叶切除术治疗肺部良性疾病效果显著,促进患者术后快速恢复,心肺功能指标影响较小,且术后并发症少,临床应用价值更高。
Objective To investigate the feasibility and clinical application value of thoracoscopic lobectomy for benign lung diseases.Methods 56 patients with benign lung diseases admitted to the Nationalities Hospital affiliated to Guangxi Medical University from August 2017 to August 2021 were conveniently selected as a research object.The selected patients were divided into two groups according to the method of random number table,with 28 patients in each group.Thoracotomy lobectomy was performed in the thoracotomy group,and thoracoscopic lobectomy was performed in the thoracoscopic group.The perioperative related indexes,cardiopulmonary function indexes and complications of the two groups were evaluated and compared.Results The intraoperative blood loss,operation duration,postoperative drainage volume,pain score and length of hospitalization in the thoracoscopic group were significantly better than those in the thoracotomy group,the difference was statistically significant(P<0.05).At 6 months after operation,the lung function indexes FEV1,FVC,VC,MVV and cardiac function indexes SV,EF,FS,MVCF in the thoracoscopic group were significantly better than those in the thoracotomy group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the two groups was significantly lower than that in the thoracoscopic group(7.14%vs 28.57%),and the difference was statistically significant(χ^(2)=4.383,P<0.05).Conclusion Thoracoscopic lobectomy is effective in treating benign lung diseases,promoting rapid postoperative recovery of patients,with less impact on cardiopulmonary function indexes and fewer postoperative complications,and is of higher clinical application value.
作者
罗强
黄斯阳
张晓安
马汇斌
LUO Qiang;HUANG Siyang;ZHANG Xiao'an;MA Huibin(Department of Cardiac Glandular Surgery,Guangxi Zhuang Autonomous Region Ethnic Hospital(Affiliated Ethnic Hospital of Guangxi Medical University),Nanning,Guangxi Zhuangzu Autonomous Region,530001 China)
出处
《中外医疗》
2022年第34期68-71,76,共5页
China & Foreign Medical Treatment
关键词
胸腔镜肺叶切除术
肺部良性疾病
心肺功能
可行性
并发症
Thoracoscopic lobectomy
Benign lung disease
Cardiopulmonary function
Feasibility
Complications
