开窗式胸膜活检的临床价值  

The clinical value of windowed pleural biopsy

作　　者：白悦[1] 曹群[1] 郎丽丽 牛荣[1] 李英平[1] BAI Yue;CAO Qun;LANG Li-li;NIU Rong;LI Ying-ping(Department of Thoracic Surgery,Gansu Provincial Cancer Hospital,Lanzhou 730050,China)

机构地区：[1]甘肃省肿瘤医院胸外一科,730050

出　　处：《天津医药》2020年第12期1184-1186,共3页Tianjin Medical Journal

基　　金：兰州市科技发展指导性计划项目(2018-ZD-11)。

摘　　要：目的探讨开窗式胸膜活检术的适应证、手术技巧及经济效应。方法回顾性分析2016年6月—2020年6月甘肃省肿瘤医院胸外科74例胸膜活检患者的临床资料,根据活检手术方式分为2组,开窗式活检组29例,胸腔镜活检组45例。比较2组患者的术中出血量、手术时间、术后疼痛评分、术后并发症及手术费用。结果围手术期无死亡患者。开窗式活检组术中出血量、手术时间、手术费用少于胸腔镜活检组(P<0.01),术后疼痛评分低于胸腔镜活检组(P<0.05),2组患者术后并发症发生率差异无统计学意义(P>0.05)。结论开窗式胸膜活检术可减轻手术创伤、缩短手术时间、降低术后疼痛评分,并能显著降低手术费用。Objective To evaluate the indications,surgical techniques and economic effects of windowed pleural biopsy.Methods The clinical data of 74 patients with pleural biopsy in the Department of Thoracic Surgery,Gansu Provincial Cancer Hospital from June 2016 to June 2020 were retrospectively analyzed.There were two groups according to different surgical methods.In windowed biopsy group,there were 29 patients(18 males and 11 females).In thoracoscopic biopsy group,there were 45 patients(27 males and 18 females).The intra-operative blood loss,operation time,postoperative pain score,postoperative complications and surgical costs were compared between the two groups.Results No perioperative patients died.Intra-operative blood loss,operation time and operation cost were significantly lower in windowed biopsy group than those of the thoracoscopy biopsy group(P<0.01).The postoperative pain scores were lower in the windowed biopsy group than those in the thoracoscopic biopsy group(P<0.05).There was no significant difference in postoperative complication between the two groups(P>0.05).Conclusion The windowed pleural biopsy can reduce surgical trauma,shorten the operation time,lower the postoperative pain score and significantly reduce the cost of surgery.

关 键 词：胸膜疾病 胸腔镜检查 开窗式活检 胸腔镜活检 临床效果 

分 类 号：R604[医药卫生—外科学] R655.2[医药卫生—临床医学]