肺功能低下患者电视胸腔镜下肺叶切除术后肺功能观察  

Observation of lung function after video-assisted thoracoscopic lobectomy in patients with low pulmonary function

作　　者：彭海军[1] 段小亮[1] 李建行[1] 周宇[1] 魏兰[1] 秦学博[1] 冯军鹏[1] 王斌[1] 徐伟乐[1] 

机构地区：[1]河北省胸科医院,石家庄050041

出　　处：《山东医药》2014年第27期21-23,共3页Shandong Medical Journal

基　　金：河北省卫计委青年科技课题(20120244)

摘　　要：目的观察肺功能低下患者电视胸腔镜下肺叶切除术后的肺功能。方法 120例肺功能低下患者按照手术方式分为胸腔镜组和开胸组各60例,观察两组手术前后FEV1%、FVC、MVV%及PaO2、PaCO2。结果胸腔镜组术前、术后15 d、术后3个月FEV1%分别为45.0±7.4、51.0±8.2、54.0±9.0,FVC分别为(1.44±0.28)、(1.59±11.20)、(1.63±7.80)L,MVV%分别为53.6±8.2、53.4±9.4、55.2±8.6;开胸组术前、术后15 d、术后3个月FEV1%分别为47.0±7.2、49.0±8.4、53.0±7.8,FVC分别为(1.55±0.21)、(1.58±11.2)、(1.62±7.30)L,MVV%分别为54.7±7.3、48.5±8.7、55.3±8.3;两组术后15 d FEV1%、FVC、MVV%比较,P均<0.05;开胸组术前与术后15 d FEV1%、FVC、MVV%比较,P均<0.05。胸腔镜组术前及术后1、2、3 d PaO2分别为(67.5±7.3)、(66.2±9.4)、(67.2±10.2)、(67.7±9.8)mmHg,PaCO2分别为(43.2±5.5)、(43.3±7.6)、(41.2±9.3)、(41.2±8.7)mmHg;开胸组术前及术后1、2、3 d PaO2分别为(68.2±5.5)、(64.3±8.5)、(64.9±9.2)、(65.7±10.6)mmHg,PaCO2分别为(41.3±4.8)、(45.3±8.4)、(44.7±8.6)、(43.2±10.7)mmHg;两组术后1、2、3 d PaO2、PaCO2比较,P均<0.05。结论与开胸手术者相比,电视胸腔镜下肺叶切除术对肺功能低下患者的肺功能损伤小。Objective To observe the lung function after video-assisted thoracoscopic lobectomy in patients with low pulmonary function .Methods Totally 120 cases of patients with low pulmonary function were divided into the video-assis-ted thoracoscopic surgery （ VATS） group and the thoracotomy group according to the surgical options , and each group had 60 cases.The FEV1%, FVC, MVV%, PaO2 and PaCO2 in both groups before and after operation were observed .Results In the VATS group, at day 15 before operation, 15 days and 3 months after operation, the FEV1% were 45.0 ±7.4, 51.0 ±8.2 and 54.0 ±9.0;FVC were（1.44 ±0.28）, （1.59 ±11.20）, （1.63 ±7.80）L, and the MVV%were 53.6 ± 8.2, 53.4 ±9.4 and 55.2 ±8.6.In the thoracotomy group, at day 15 before operation, 15 days and 3 months after opera-tion, the FEV1%were 45.0 ±7.4, 51.0 ±8.2 and 54.0 ±9.0;FVC were （1.55 ±0.21）, （1.58 ±11.2） and （1.62 ± 7.30） L;and the MVV%were 54.7 ±7.3, 48.5 ±8.7 and 55.3 ±8.3.Significant difference was found in the FEV 1%, FVC and MVV%at day 15 after operation between the two groups （all P＆lt;0.05）.Significant difference was found in the FEV1%, FVC and MVV% before and after operation 15 days in the thoracotomy group （all P＆lt;0.05）.In the VATS group, at 1st, 2nd and 3rd day before and after operation, the PaO2 were （67.5 ±7.3）, （66.2 ±9.4）, （67.2 ±10.2） and （67.7 ±9.8） mmHg, PaCO2 were （43.2 ±5.5）, （43.3 ±7.6）, （41.2 ±9.3） and （41.2 ±8.7） mmHg; in the thoracotomy group, PaO2 before operation and after operation 1, 2, 3 d were （68.2 ±5.5）, （64.3 ±8.5）, （64.9 ± 9.2） and （65.7 ±10.6） mmHg, PaCO2 were （41.3 ±4.8）, （45.3 ±8.4）, （44.7 ±8.6） and （43.2 ±10.7） mmHg;significant difference was found in the PaO 2 and PaCO2 at 1st, 2nd and 3rd day after operation （all P＆lt;0.05）.Conclusion＆amp;nbsp;Compared with the patients undergoing thoracotomy , the patients with low lung function undergoing VATS lobectomy has less injuri

关 键 词：电视胸腔镜手术 单肺叶切除术 肺功能 肺功能不全 

分 类 号：R563[医药卫生—呼吸系统]