胸腔镜下肺肿物切除术的临床效果分析  

Clinical effect analysis of thoracoscopy lung mass resection

作　　者：林凯旋 陈厚赏 肖国泽 汤国强 梁广勇 Lin Kaixuan;Chen Houshang;Xiao Guoze;Tang Guoqiang;Liang Guangyong(Department of Cardiothoracic Surgery,Yangjiang People's Hospital,Yangjiang,Guangdong,529500,China)

机构地区：[1]阳江市人民医院心胸外科,广东阳江529500

出　　处：《当代医学》2020年第14期37-38,共2页Contemporary Medicine

摘　　要：目的分析胸腔镜下肺肿物切除术的临床效果。方法选取2017年10月至2019年10月本院收治的行肺肿物切除术患者125例,根据入院时间分为研究组(n=62)与对照组(n=63)。对照组选择常规手术方法,研究组选择胸腔镜下切除术。对比2种手术方法的临床效果(手术时间、带胸管时间、住院时间、出血量)、并发症发生率、生活质量。结果研究组患者手术时间(101.23±25.54)min、带胸管时间(2.22±1.17)d、住院时间(7.93±0.84)d、出血量(100.14±46.21)m L均短于对照组[(171.41±25.98)min(、4.38±1.25)d(、10.04±1.32)d(、180.89±62.47)mL](P<0.05)。研究组并发症发生率明显低于对照组(P<0.05)。研究组患者生理职能、社会功能、心理状态、健康状况评分均高于对照组(P<0.05)。结论胸腔镜下肺肿物切除术创伤小、治疗安全有效、手术时间短、术中出血量少、并发症发生率低,临床治疗效果显著,值得临床推广运用。Objective To analyze the clinical effect of thoracoscopy lung mass resection. Methods A total of 125 patients who underwent pneumonectomy in our hospital from October 2017 to October 2019 were selected and they were divided into study group(n=62) and control group(n=63)according to the time of admission. The control group selected conventional surgical methods, and the study group selected thoracoscopy. The clinical effects of the two surgical methods(operation time, chest tube time, hospital stay, bleeding volume), complication rate, and quality of life were compared. Results The operation time(101.23±25.54) min, chest tube time(2.22±1.17) d, hospital stay(7.93±0.84) d, and blood loss(100.14±46.21) mL in the study group were shorter than those in the control group [(171.41±25.98) min,(4.38±1.25) d,(10.04±1.32) d,(180.89±62.47) mL](P<0.05).The incidence of complications in the study group was significantly lower than that in the control group(P<0.05). Patients in the study group had higher scores on physiological functions, social functions, mental state, and health status than the control group(P<0.05). Conclusion Thoracoscopic lung mass resection is less invasive, safe and effective, has shorter operation time, less intraoperative blood loss, and lower incidence of complications. It has significant clinical effects and is worthy of clinical application.

关 键 词：胸腔镜 肺部肿物来切除术 临床效果 并发症 

分 类 号：R734.2[医药卫生—肿瘤]