单孔与单操作孔胸腔镜手术治疗肺大疱并自发性气胸疗效对比研究  

A Comparative Study on the Efficacy of Single-port and Single-port Thoracoscopic Surgery in the Treatment of Bullae and Spontaneous Pneumothorax

作　　者：沈荣强 林淑玲 张奕[1] 黄镇[1] SHEN Rong-qiang;LIN Shu-ling;ZHANG Yi;HUANG Zhen(Department of Thoracic Surgery,Zhangzhou Hospital,Zhangzhou,Fujian Province,363000 China)

机构地区：[1]漳州市医院胸心外科,福建漳州363000

出　　处：《中外医疗》2020年第28期79-81,共3页China & Foreign Medical Treatment

摘　　要：目的探究单孔与单操作孔胸腔镜手术对肺大疱并自发性气胸的治疗效果。方法方便选取2017年1月—2019年6月于该院进行肺大疱并自发性气胸手术治疗的患者180例(因胸腔广泛粘连行三孔胸腔镜手术排除在外),随机分为两组,观察组进行单孔胸腔镜手术治疗,对照组进行单操作孔胸腔镜手术治疗,对比两组患者手术相关指标,包括:手术时长、术中出血量、胸腔置管时间与胸腔积液引流量,探究单孔与单操作孔胸腔镜手术治疗肺大疱并自发性气胸的临床疗效及两组患者术后疼痛情况。结果两组患者性别、发作次数、肺压缩程度等方面数据对比差异无统计学意义(P>0.05);对照组患者手术时长为(56.26±5.02)min,与观察组(55.73±5.19)min相比,差异无统计学意义(t=0.685,P>0.05);观察组患者胸腔置管时间、术中出血量依次为(3.01±0.93)d、(19.67±2.76)mL,明显低于对照组(3.49±0.99)d、(21.07±2.67)mL(P<0.01);观察组患者胸腔积液引流量为(246.83±19.05)mL,明显高于对照组(225.47±7.60)mL(t=3.295、3.588、9.433,P<0.001);对照组患者VAS评分为(7.12±1.32)分,观察组患者VAS评分为(7.30±1.30)分,两组患者对比差异无统计学意义(t=0.891,P=0.376)。结论两组方式对治疗自发性气胸合并肺大疱患者均有一定治疗效果,单操作孔法可以缩短插管时间,增加胸腔积液引流量,建议根据患者实际情况选择合理的治疗方案,从而提高预后效果。Objective To explore the effect of single-port and single-port thoracoscopic surgery on bullae and spontaneous pneumothorax.Methods A total of 180 patients who underwent pulmonary bullae and spontaneous pneumothorax in the hospital from January 2017 to June 2019 were conveniently selected(excluded from thoracoscopic surgery due to extensive thoracic adhesions)and randomly divided into two groups:the observation group was treated with single-port thoracoscopic surgery,and the control group was treated with single-port thoracoscopic surgery.The operation-related indicators of the two groups were compared,including:operation time,intraoperative blood loss,pleural catheterization time and pleural effusion drainage,to explore the clinical effects of single-port and single-port thoracoscopic surgery in the treatment of bullae with spontaneous pneumothorax,and the postoperative pain in the two groups.Results There was no statistically significant difference between the two groups of patients in terms of gender,number of attacks,degree of lung compression,etc.(P>0.05);the operation time of the control group was(56.26±5.02)min,compared with the observation group(55.73±5.19)min,The difference was not statistically significant(t=0.685,P>0.05);the time of thoracic catheterization and intraoperative blood loss in the observation group were(3.01±0.93)d and(19.67±2.76)mL,which were significantly lower than those in the control group(3.49±0.99)d,(21.07±2.67)mL(P<0.01);the drainage volume of pleural effusion in the observation group was(246.83±19.05)mL,which was significantly higher than the control group(225.47±7.60)mL(t=3.295,3.588,9.433,P<0.001);the VAS score of patients in the control group was(7.12±1.32)points,and the VAS score of patients in the observation group was(7.30±1.30)points.There was no statistically significant difference between the two groups of patients(t=0.891,P=0.376).Conclusion The two methods have a certain therapeutic effect on the treatment of patients with spontaneous pneumothorax and bullae.T

关 键 词：胸腔镜 肺大疱 自发性气胸 VAS 

分 类 号：R655[医药卫生—外科学]