单孔胸腔镜手术与传统胸腔镜手术在肺部手术中的对比研究  

Comparative study of single-hole and traditional thoracoscope surgeries in the lungs

作　　者：宋超[1] 魏益平[1] 张文雄[1] 熊建文[1] 喻东亮[1] 

机构地区：[1]南昌大学第二附属医院心胸外科,南昌330006

出　　处：《中国医师杂志》2015年第11期1607-1608,1612,共3页Journal of Chinese Physician

基　　金：江西省卫生厅资助项目（20111060）

摘　　要：目的 探讨单孔电视胸腔镜手术（SPVATS）在肺部手术的临床使用价值.方法 选取2015年1月至2015年6月共60例肺局部切除行胸腔镜手术患者,其中28例行单孔电视胸腔镜治疗、同期32例行传统电视胸腔镜手术治疗.比较两组手术术中出血量、操作时间、术后疼痛程度、术后胸腔引流量等指标.结果 两组患者围手术期均无死亡及严重并发症,单操作孔组和双操作孔组之间手术术中出血量、操作时间、术后胸腔引流量差异无统计学意义（P＞0.05）.术后疼痛程度评分＂单孔胸腔镜＂组[（0.8±0.5）分]较＂传统胸腔镜＂组[（1.2±0.6）分]低,差异有统计学意义（P =0.009）.结论 单孔胸腔镜手术在治疗肺部疾病手术可行、可靠,与传统胸腔镜手术相比,能有效减轻患者术后疼痛,提高生活质量.Objective To explore clinical value of the single-hale video-assisted thoracoscope surgery in lung surgery.Methods In our hospital from January 2015 to June 2015, a total of 60 patients was performed with lung partial resection line thoracoscope surgery, 28 routine puckering traditional video-assisted thoracoscope treatment, in the same period 32 underwent video-assisted thoracoscope surgery.Intraoperative blood loss, operating time, postoperative pain degree, and postoperative chest such as flow rate were compared between two groups.Results Two groups of patients had no perioperative death and severe complications.Intraoperative blood loss and operating time were no significant significance between single-and double-hole operation groups.The degree of postoperative pain score was （0.8 ± 0.5） in puckering thoracoscope group, and （1.2 ± 0.6） in traditional thoracoscope group, with significant difference （P =0.009）.Conclusions Single-hole thoracoscope surgery in the treatment of lung diseases is feasible and reliable compared to traditional thoracoscope surgery, and patients can effectively reduce postoperative pain, and improve the quality of life.

关 键 词：胸腔镜检查/方法 肺切除术 

分 类 号：R655.3[医药卫生—外科学]