采用电视胸腔镜肺叶切除术治疗肺部疾病的效果分析  

Use Video-Assisted Thoracoscopic Lobectomy Treatment Lung Disease Effectiveness Analysis

作　　者：吴克[1] 

机构地区：[1]安徽省马鞍山市中心医院胸心外科,安徽马鞍山243000

出　　处：《中外医疗》2009年第23期1-2,共2页China & Foreign Medical Treatment

摘　　要：目的探讨电视胸腔镜肺叶切除术治疗肺部疾病的临床疗效。方法对我院60例胸部疾病患者采用电视胸腔镜肺叶切除术治疗。结果手术时间90～180min,平均130min,术中出血量100～360mL,平均180mL,术后胸引流总量在150～400mL,平均250mL,胸管放置时间为2～5d,平均2.5d。术后住院天数为8～12d,平均9.5d。清扫第3～10组淋巴结共180枚,人均5枚(2～10枚不等)。所有患者手术均成功,无中转开胸病例,无手术死亡病例,均治愈出院。随访6～36个月,死亡5例。结论VATS肺叶切除术治疗肺部疾病是安全可行的,既可发挥微创技术优势,通过电视胸腔镜探查可以减少开胸探查率,又可达到传统开胸手术安全可靠的治疗效果,是目前胸部微创外科的一个发展趋势。Objective Discuss video-assisted thoracoscopic lobectomy treatment lung disease effectiveness analysis. Methods 60 cases of thoracic disease patients treated with video-assisted thoracoscopic lobectomy treatment in our hospital. Results Operation time was 90-180 min, average 130 rain, surgical blood loss was 100-360mL, average 180 ml, postoperative chest drainage volume was 150-400mL, average 250mL, of chest tube placement time was 2-5d, average 2.5d. Post-operative hospitalization days was 8-12d, average 9.5d. Clean-up the 3-10 Group total 180 lymph nodes, per capita 5 （2-10 range）. All patients were surgery successful, without transit thoracotomy cases, no operative deaths, were cured and discharged. Follow-up 6.-36 months, five cases death. Conclusion Video-assisted thoracoscopic lobectomy treatment lung disease is safe and ieasible, can exert the advantages of minimally invasive techniques,Through video-assisted thoracoscopic exploration can be reduced exploratory thoracotomy rate, can achieve traditional open heart surgery safe and reliable treatment effect, is the chest of minimally invasive surgery currently developing trend.

关 键 词：电视胸腔镜 肺叶切除术 肺部疾病 

分 类 号：R655.3[医药卫生—外科学]