单操作孔胸腔镜手术治疗支气管扩张的围手术期疗效观察  

Therapeutic effect of single utility port video-assisted thoracoscopic surgery in perioperative patients with bronchiectasis

作　　者：李仕奎[1] 赵家莹[2] 杨鹏[1] 张临友[2] 

机构地区：[1]大庆油田总医院胸外科,黑龙江大庆163001 [2]哈尔滨医科大学附属第二医院胸外科,黑龙江哈尔滨150081

出　　处：《哈尔滨医科大学学报》2015年第2期153-156,共4页Journal of Harbin Medical University

摘　　要：目的分析单操作孔胸腔镜手术在支气管扩张治疗中的应用价值。方法选取支气管扩张患者53例,将其分为观察组和对照组,观察组30例,对照组23例。观察组采用单操作孔胸腔镜手术实施治疗;对照组采用传统开胸手术治疗,比较两组患者的临床指标,术后并发症发生率。结果与对照组相比,观察组平均手术时间、术中出血量、平均带管时间、平均术后住院时间均有不同程度的减少,且差异具有统计学意义(P<0.05)。结论单操作孔胸腔镜手术进行支气管扩张的治疗具有安全性及科学性。值得临床应用与推广。Objective To explore the therapeutic effect of single utility port video-assisted tho-racoscopic surgery （ VATS） in bronchiectasis treatment , and to provide a reference for clinical decision making in perioperative patients with bronchiectasis .Methods Fifty-three cases of bronchiectasis patients from September 2011 to June 2014 in the First Affiliated Hospital of Harbin Medical University were collected and randomly divided into control group and observa-tion group .Patients of observation group were performed VATS , patients of control group were performed traditional open chest operation.The intraoperative blood loss, postoperative compli-cations incidence , postoperative pain score and postoperative recovery condition were com-pared.Results There were significant differences between the two groups in intraoperative bleeding and postoperative complication incidence （ P〈0.05 ） .The tube drainage time and post operative hospital stay time of the patients in the observation group was significantly less than that in the control group （ P〈0.05 ） .The pain score of the patients in the observation group on the 1st day and 3rd day were significantly lower than that in the control group .Con-clusion VATS is safe and reliable , it is worthy of clinical application and promotion .

关 键 词：单操作孔胸腔镜手术 支气管扩张 并发症 

分 类 号：R562.22[医药卫生—呼吸系统]