胸腔镜肺减容术治疗慢性阻塞性肺气肿的临床疗效分析  

Analysis of the Clinical Efficacy of Thoracoscopic Lung Volume Reduction Surgery in the Treatment of Chronic Obstructive Emphysema

作　　者：张辉 ZHANG Hui(Department of Thoracic and Cardiovascular Surgery,Cardiovascular and Cerebrovascular Disease Hospital of Qinghai,Xining,Qinghai Province,810012 China)

机构地区：[1]青海省心脑血管病专科医院胸心外科,青海西宁810012

出　　处：《世界复合医学》2021年第4期103-105,共3页World Journal of Complex Medicine

摘　　要：目的分析胸腔镜肺减容术治疗慢性阻塞性肺气肿的临床疗效。方法选取该院2018年1月—2020年2月90例慢性阻塞性肺气肿患者开展研究,随机分为参照组和观察组,各45例。分别实行传统开胸手术治疗和胸腔镜减容术治疗,对比两组肺功能指标、术后胸管引流时间以及平均住院时间、治疗成效。结果观察组的肺功能指标均优于参照组,差异有统计学意义(P<0.05);参照组和观察组的胸管术后引流时间分别为(13.35±6.14)、(10.45±4.27)d,差异有统计学意义(t=2.601,P=0.011),平均住院时间分别为(25.10±7.22)d、(19.17±5.66)d,差异有统计学意义(t=4.336,P<0.01)。与参照组(77.78%)相比,观察组治疗有效率(95.56%)相对较高,差异有统计学意义(χ^(2)=6.153,P=0.013)。结论在对慢性阻塞性肺气肿患者所进行的治疗中,胸腔镜肺减容术治疗能够改善患者的各项肺功能指标,对于降低患者的术后胸管引流时间以及平均住院时间有优势,临床治疗效果显著,安全性较高。Objective To analyze the clinical efficacy of thoracoscopic lung volume reduction surgery in the treatment of chronic obstructive pulmonary emphysema.Methods Ninety patients with chronic obstructive pulmonary emphysema from January 2018 to February 2020 in the hospital were selected for the study,and they were randomly divided into a reference group and an observation group,with 45 cases in each group.The traditional thoracotomy and thoracoscopic volume reduction were performed respectively,and the lung function indexes,postoperative chest tube drainage time,average hospital stay and treatment effectiveness were compared between the two groups.Results The lung function indexes of the observation group were better than those of the reference group,the difference was statistically significant(P<0.05);the postoperative drainage time of chest tube in the reference group and observation group were(13.35±6.14)d and(10.45±4.27)d,and the difference was statistically significant(t=2.601,P=0.011)The average hospital stay was(25.10±7.22)d and(19.17±5.66)d,and the difference was statistically significant(t=4.336,P<0.001);and compared with the reference group(77.78%),the observation group had a relatively effective treatment rate(95.56%),the difference was statistically significant(χ^(2)=6.153,P=0.013).Conclusion In the treatment of patients with chronic obstructive pulmonary emphysema,thoracoscopic lung volume reduction surgery can improve the patients’lung function indicators,and has advantages in reducing the postoperative chest tube drainage time and the average length of hospital stay.The treatment effect is remarkable and the safety is high.

关 键 词：胸腔镜 肺减容术 电视胸腔镜 慢性阻塞性肺气肿 临床应用 

分 类 号：R4[医药卫生—临床医学]