采用经剑突下入路的单孔胸腔镜手术对双侧肺大疱行同期切除的临床效果及预后分析  

Clinical Effect and Prognostic Analysis of Simultaneous Resection of Bilateral Bullae with Single Port Thoracoscopic Surgery through Subxiphoid Approach

作　　者：周杨[1] ZHOU Yang(Department of Thoracic Surgery,Jianshui County People's Hospital,Honghe Prefecture,Jianshui,Yunnan Province,654399 China)

机构地区：[1]云南省红河州建水县人民医院胸外科,云南建水654399

出　　处：《世界复合医学》2021年第1期49-51,共3页World Journal of Complex Medicine

摘　　要：目的明确采用经剑突下入路的单孔胸腔镜手术对双侧肺大疱行同期切除的临床效果及预后情况。方法以该院2018年8月—2020年1月收治的患者为观察对象,共140例,并将其平均分为观察组及对照组,每组各70例患者。其中,观察组采用经剑突下入路的单孔胸腔镜手术对双侧肺大疱行同期切除,对照组则使用传统双孔法完成患者双侧肺大疱行同期切除。并观察两组患者的预后情况。结果观察组的手术时间、出血量、胸管引流量、平均胸管引流时间依次为(90.3±10.4)min、(14.4±2.3)mL、(100.4±11.6)mL、(2.9±0.6)d,对照组为(120.9±10.1)min、(19.8±3.0)mL、(222.5±12.2)mL、(4.5±0.8)d,相比对照组来说,观察组各项指标有着更为良好的表现,差异有统计学意义(t=17.660、11.952、60.683、13.386,P<0.05)。并且观察组的不良反应率低于对照组,差异有统计学意义(P<0.05)。结论采用经剑突下入路的单孔胸腔镜手术对双侧肺大疱行同期切除能够达到理想的临床效果及预后水平。Objective To clarify the clinical effect and prognosis of simultaneous resection of bilateral bullae by single port thoracoscopic surgery through the subxiphoid approach.Methods A total of 140 patients admitted to the hospital from August 2018 to January 2020 were taken as the observation objects,and they were divided into observation group and control group,with 70 patients in each group.Among them,the observation group used single port thoracoscopic surgery through the inferior xiphoid approach to perform simultaneous resection of bilateral bullae,while the control group used the traditional double port method to complete the simultaneous resection of bilateral bullae.And observe the prognosis of the two groups of patients.Results In operation time,blood loss,chest tube drainage volume,and average chest tube drainage time of the observation group were(90.3±10.4)min、(14.4±2.3)mL、(100.4±11.6)mL、(2.9±0.6)d,the control group were(120.9±10.1)min、(19.8±3.0)mL、(222.5±12.2)mL、(4.5±0.8)d,compared with the control group,the data of observation group performed better,the difference was statistically significant(t=17.660,11.952,60.683,13.386,P<0.05).And the adverse reaction rate of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion The simultaneous resection of bilateral bullae by single port thoracoscopic surgery through the subxiphoid approach can achieve the ideal clinical effect and prognosis level.

关 键 词：单孔胸腔镜手术 双侧肺大疱 同期切除 临床效果 

分 类 号：R4[医药卫生—临床医学]