同期与分期电视胸腔镜手术治疗双侧肺大泡的疗效评价和安全性比较  

Evaluation on Curative Effect and Comparison of Safety of Simultaneous and Staged Video-assisted Thoracoscopic Surgery in Treatment of Bilateral Pulmonary Bullae

作　　者：胡蒙 解百宜 包传恩 郭明 HU Meng;XIE Bai-yi;BAO Chuan-en;GUO Ming(Department of Thoracic Surgery,Affiliated Chenggong Hospital of Xiamen University,Xiamen,Fujian Province,361003 China)

机构地区：[1]厦门大学附属成功医院胸心外科,福建厦门361003

出　　处：《中外医疗》2018年第33期64-66,共3页China & Foreign Medical Treatment

摘　　要：目的对比同期与分期电视胸腔镜手术治疗双侧肺大泡的疗效评价和安全性。方法方便选取2012年4月—2017年4月期间该院收治的62例双侧肺大泡患者作为研究对象,将其按照手术方法的不同分为对照组和观察组。对照组患者电视胸腔镜下采用双侧分期肺大泡手术治疗,观察组患者电视胸腔镜下采用双侧同期肺大泡手术治疗对比分析两组患者的临床疗效及不良症状发生情况。结果观察组患者手术切口长度(1.84±0.42)cm、手术用时(108.89±11.41)min、术中出血量(67.21±9.47)mL均明显优于对照组患者(20.52±4.25)cm、(137.25±12.56)min、(142.56±17.25)mL,差异有统计学意义(t=5.245、3.854、6.142,P<0.05)。且观察组患者疼痛时间(3.76±1.62)d、心率(79.24±13.52)次/min、首次下床活动时间(3.27±0.55)d、住院时间(8.16±3.26)d指标均明显优于对照组(6.26±2.16)d、(107.82±11.56)次/min、(6.18±1.05)d、(18.25±3.15)d,差异有统计学意义(t=4.524、4.481、5.736、4.251,P<0.05)。观察组患者不良症状发生率明显低于对照组患者,差异有统计学意义(χ~2=5.251,P<0.05)。结论在电视胸腔镜下对患者进行同期双侧肺大泡切除术其临床治疗效果和安全性均明显高于双侧肺大泡分期手术治疗,且术后康复快、创伤小,值得在临床上推广使用。Objective To compare the curative effect and comparison of safety of simultaneous and staged video-assisted thoracoscopic surgery in treatment of bilateral pulmonary bullae.Methods62cases of patients with bilateral pulmonary bullae admitted and treated in our hospital from April2012to April2017were conveniently selected and divided into two groups according to different operation ways,the control group used the video-assisted thoracoscopic surgery,while the observation group used the video-assisted thoracoscopic surgery,and the clinical curative effect and occurrence of adverse symptoms were compared and analyzed.Results The operation incision length,operation time and intraoperative bleeding amount in the observation group were respectively(1.84±0.42)cm,(108.89±11.41)min,(67.21±9.47)mL,which were obviously higher than those in the control group[(20.52±4.25)cm,(137.25±12.56)min,(142.56±17.25)mL],and the differences were statistically significant(t=5.245,3.854、6.142,P<0.05),and the pain time,heart rate,and first time to get out of bed and length of stay in the observation group were obviously better than those in the control group[(3.76±1.62)d,(79.24±13.52)times/min,(3.27±0.55)d,(8.16±3.26)d vs(6.26±2.16)d,(107.82±11.56)times/min,(6.18±1.05)d,(18.25±3.15)d],and the differences were statistically significant(t=4.524,4.481,5.736,4.251,P<0.05),and the occurrence probability of adverse symptoms in the observation group was obviously lower than that in the control group,and the difference was statistically significant(χ^2=5.251,P<0.05).Conclusion The clinical treatment effect and safety of simultaneous resection of bilateral pulmonary bullae under the video-assisted thoracoscopic surgery are obviously higher than those of staged video-assisted thoracoscopic surgery,with rapid postoperative recovery and small wound,and it is worth clinical promotion and application.

关 键 词：电视胸腔镜手术 双侧分期肺大泡手术 双侧同期肺大泡手术 

分 类 号：R655.3[医药卫生—外科学]