胸腔镜肺段切除术治疗肺部疾病的临床疗效分析  

Analysis of clinical curative effect of total thoracoscopic anatomic pulmonary segmentectomy for the treatment of pulmonary diseases

作　　者：孙效辉[1] 解明然[1] 熊燃[1] 柳常青[1] 郭明发[1] 马冬春[1] 徐美清[1] 

机构地区：[1]安徽省立医院胸外科,安徽合肥230001

出　　处：《临床肺科杂志》2014年第12期2236-2238,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的：探讨胸腔镜肺段切除术在肺部疾病治疗过程中的安全性、可行性及有效性。方法选取2011年1月～2013年12月安徽省立医院胸外科34例接受胸腔镜肺段切除术患者。回顾性分析临床资料,统计患者的手术时间、术中出血量以及术后并发症的发生情况。结果34例患者均成功施行胸腔镜肺段切除术,平均手术时间（119．6±53．2）min,术中平均出血量（90．0±52．3）ml,术后平均留置胸引管时间（5．1±1．2）d,术后平均住院时间（6．2 ±1．9）d,无围手术期死亡病例,术后再次手术1例,持续性肺漏气≥7 d 2例,肺不张1例,均经保守治疗治愈。结论胸腔镜肺段切除术在治疗肺部良性疾病及早期肺癌方面是安全可行的,术中出血量较少,术后留置胸引管时间及术后住院时间短,手术时间及术后并发症并不相应增加。Objective To investigate the safety efficarery and indication of total Thoracoscopic anatomic pulmonary segmentectomy for the treatment of pulmonary diseases. Methods Between January 2011 and December 2013 thirty-four patients who received total thoracoscopic anatomic pulmonary segmentectomy in Department of Tho-racic Surgery Anhui Provincial Hospital. The clinical records of these patients were Retrospectively reviewed, statistic the operation time,blood loss and postoperative complications. Results All the thirty-four patients underwent total thoracoscopic anatomic segmentectomy successfully. The mean operative time was （ 119. 6 ± 53. 2 ） min. The mean blood loss was （90. 0 ± 52. 3）ml. The chest tubes ware maintained in position for （5. 1 ± 1. 2）d. The mean postoper-ative hospitalization time was （6. 2 ± 1. 9）d. After surgery, there was no erioperative death in the procedure, there was 1 secondary operation, Prolonged air leak occurred in two patients for 7 days,1 patient developd pulmonary infec-tion, all of them were cured. Conclusion Total thoracoscopic anatomic pulmonary segmentectomy is a feasible and safe technique to treatment of benign pulmonary diseases and lung cancer. The intraoperative blood loss, postopera-tive drainage time, and hospital stay were fewer, There were no increasion about the operating time and postoperative complication.

关 键 词：胸腔镜 肺段切除 肺癌 肺良性疾病 转移瘤 

分 类 号：R563[医药卫生—呼吸系统]