单孔胸腔镜辅助小切口肺大泡切除术治疗肺大泡疗效研究  

Study on the efficacy of single-port video-assisted thoracoscopic pulmonary bullectomy in the treatment of pulmonary bullae

作　　者：薛博仁 XUE Bo-ren(Liaoning Fushun Central Hospital,Fushun 113006,China)

机构地区：[1]辽宁省抚顺市中心医院,113006

出　　处：《中国现代药物应用》2021年第24期48-50,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察单孔胸腔镜辅助小切口肺大泡切除术治疗肺大泡的疗效。方法选取62例肺大泡患者作为研究对象,根据手术方法不同分为对照组与实验组,每组31例。对照组采用开胸手术治疗,实验组采用单孔胸腔镜辅助小切口肺大泡切除术治疗。比较两组患者应激指标、手术指标、并发症发生情况。结果术后24 h,实验组患者皮质醇为(558.65±50.34)nmol/L、白介素-6为(95.45±4.42)ng/L、C反应蛋白为(95.45±4.34)mg/L,均明显低于对照组的(650.43±50.31)nmol/L、(125.34±4.45)ng/L、(124.32±4.31)mg/L,差异具有统计学意义(P<0.05)。实验组手术时间(47.65±2.34)min明显短于对照组的(88.65±2.34)min,术中出血量(64.34±4.32)ml明显少于对照组的(168.65±4.36)ml,术后首次下床活动时间(2.43±1.23)h明显早于对照组的(4.35±1.21)h,差异具有统计学意义(P<0.05)。实验组住院时间为(8.43±1.21)d,明显短于对照组的(14.34±1.22)d,差异具有统计学意义(P<0.05)。实验组患者并发症发生率6.45%低于对照组的32.26%,差异具有统计学意义(P<0.05)。结论肺大泡患者采用单孔胸腔镜辅助小切口肺大泡切除术治疗效果优于开胸手术。Objective To observe the efficacy of single-port video-assisted thoracoscopic pulmonary bullectomy in the treatment of bullae.Methods A total of 62 patients with bullae were taken as the research subjects,and were divided into control group and experimental group according to different surgical methods,with 31 cases in each group.The control group was treated with thoracotomy,and the experimental group was treated with video-assisted thoracoscopic pulmonary bullectomy.The stress indicators,surgical indicators,and complications were compared between the two groups.Results At 24 h postoperatively,the cortisol(558.65±50.34)nmol/L,interleukin-6(95.45±4.42)ng/L,and C-reactive protein(95.45±4.34)mg/L of the experimental group were significantly lower than(650.43±50.31)nmol/L,(125.34±4.45)ng/L,(124.32±4.31)mg/L of the control group,and the differences were statistically significant(P<0.05).The operation time(47.65±2.34)min of the experimental group was significantly shorter than(88.65±2.34)min of the control group;the intraoperative blood loss(64.34±4.32)ml of the experimental group was significantly less than(168.65±4.36)ml of the control group;the first-time off-bed activity time(2.43±1.23)h of the experimental group was significantly earlier than(4.35±1.21)h of the control group;all the differences were statistically significant(P<0.05).The hospitalization time in the experimental group was(8.43±1.21)d,which was significantly shorter than(14.34±1.22)d in the control group,and the difference was statistically significant(P<0.05).The complication rate 6.45%of the experimental group was lower than 32.26%of the control group,and the difference was statistically significant(P<0.05).Conclusion The therapeutic effect of single-port video-assisted thoracoscopic pulmonary bullectomy is better than that of thoracotomy.

关 键 词：单孔胸腔镜 辅助小切口 肺大泡切除术 肺大泡 

分 类 号：R655.3[医药卫生—外科学]