胸腔镜在肺部感染性疾病手术应用中的临床研究  

Clinical research on application of thoracoscopy in surgery for lung infections

作　　者：张永强[1] 郝文波[1] 朱坤[1] 李艳[1] 

机构地区：[1]齐齐哈尔医学院附属第三医院心胸外科,黑龙江齐齐哈尔161000

出　　处：《中华医院感染学杂志》2014年第16期4054-4055,4073,共3页Chinese Journal of Nosocomiology

基　　金：黑龙江省教育厅基金资助项目(11531437)

摘　　要：目的研究采用全胸腔镜的手术方法治疗肺部感染疾病的治疗效果,探讨该方法的安全性与可行性。方法随机选取2012年1-12月入院治疗的200例肺部感染性疾病患者,将其平均分为对照组和观察组;对照组采用传统的开胸手术方法,观察组采用全胸腔镜的手术方法,比较这两组的手术效果,采用SPSS13.0进行对比分析。结果观察组全胸腔镜手术转开胸手术5例,无手术期死亡发生,手术均成功完成;观察组平均手术时间(145.3±29.8)min、术中失血量(132.5±19.9)ml、术后胸液量(1023.1±56.6)ml、术后住院时间(6.3±2.7)d、切口疼痛程度评分(5.1±1.5)分、术后并发症8例;对照组平均手术时间(179.2±32.7)min、术中失血量(159.4±23.7)ml、术后胸液量(1412.6±43.7)ml、术后住院时间(7.6±3.4)d、切口疼痛程度评分(8.3±1.1)分、术后并发症12例。结论采用全胸腔镜手术方法治疗肺部感染疾病取得了良好的效果,术后并发症发生率低,与开胸手术相比,效果更加显著,减轻患者的疼痛。OBJECTIVE To study the total thoracoscopic surgical method for treatment of lung infections,and investigate the feasibility and safety of the method.METHODS Totally 200 hospitalized patients with lung infections from Jan.to Dec.in 2012 were randomly selected and were evenly divided into the control group and the observation group.The control group received traditional thoracotomy approach for treatment,while the observation group received the total thoracoscopic surgical method,the surgical effect in the two groups were compared with SPSS 13.0.RESULTS In the observation group,5cases were converted from the total thoracoscopic surgery to thoracotomy,no operative deaths occurred,the operations were all completed successfully.The observation group had the average operative time（145.3±29.8）min,intraoperative blood loss（132.5±19.9）ml,thoracic fluid volume（1023.1±56.6）ml,postoperative hospital stay（6.3±2.7）d,incision pain scores（5.1±1.5）points,and eight cases of postoperative complications.The control group had average operative time（179.2±32.7）min,intraoperative blood loss（159.4±23.7）ml,thoracic fluid volume（1412.6±43.7）ml,postoperative hospital stay（7.6±3.4）d,incision pain scores（8.3±1.1）points,and 12 cases of postoperative complications.CONCLUSION Total thoracoscopic surgical treatment for lung infections achieved good results and a low incidence of postoperative complications;compared with thoracotomy,the effect was more significant to reduce the patient′s pain.

关 键 词：全胸腔镜手术 肺部感染疾病 可行性 

分 类 号：R563[医药卫生—呼吸系统]