电视胸腔镜手术对肺功能的影响  

The influence of video-assisted thoracic surgery on pulmonary function

作　　者：王建东[1] 杨选平[1] 辛永祥[1] 李飞[1] 张洪波[1] 左占杰 

机构地区：[1]武警北京总队医院,北京100027

出　　处：《武警医学院学报》2006年第6期581-582,共2页Acta Academiae Medicinae CPAPF

摘　　要：[目的]研究电视胸腔镜手术与常规开胸手术对患者肺功能的影响。[方法]将146例病人随机分为两组,研究组行电视胸腔镜术,对照组行常规开胸术。比较两组患者术前及术后肺功能改变。采用最大肺活量(FVC),第1秒用力呼气量(EFV1)作为肺功能评价指标。[结果]术后研究组FVC、EFV1差异无统计学意义(P>0.05)。对照组术后FVC、EFV1下降明显(P<0.05)。术后研究组指标水平明显优于对照组,差异有统计学意义(P<0.05)。[结论]电视胸腔镜术对胸科疾病患者肺功能的影响较常规开胸术小。[Objective] To study the influence of Video-assisted thoracic surgery （VATS） on pulmonary function of patients with thoracic diseases. [Methods] 66 cases were selected and treated by VATS; 80 cases were collected as eontrol and treated by routine thorax procedures. FVC and EFV1 were checked before and after operations to evaluate pulmonary function. [Results] In study group the levels of FVC and EFV1 were not significantly decrease after operation than before operation （ P 〉 0.05）. The levels of FVC and EFV1 were significantly decrease in control group than those in study group after treatment （P 〈 0.05）. In control group the levels of FVC and EFV1 were significantly decease after operations than before operation （ P 〈 0.05）. [Conclusion] VATS have less influence on pulmonary function than the routine thorax procedure and is beneficial to patients.

关 键 词：电视胸腔镜术 胸科疾病 肺功能 

分 类 号：R655.3[医药卫生—外科学]