基于倾向性评分匹配法的荧光法与改良膨胀-萎陷法解剖性肺段切除术的近期效果比较  

Comparison of short-term outcomes between fluorescence method versus modified inflation-deflation method on thoracoscopic anatomical segmentectomy:a study based on propensity score matching

作　　者：王保明 吴峰 马冬春 汪明明 刘唐彬 华丛书 张朝东 王文生 丁翔 赵健 代晨 Wang Baoming;Wu Feng;Ma Dongchun;Wang Mingming;Liu Tangbin;Hua Congshu;Zhang Chaodong;Wang Wensheng;Ding Xiang;Zhao Jian;Dai Chen(Department of Thoracic Surgery,Word 1 Anhui Chest Hospital,Hefei 230022,China)

机构地区：[1]安徽省胸科医院胸外一科,合肥230022

出　　处：《中华胸心血管外科杂志》2023年第3期134-141,共8页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的探讨荧光显影技术在单孔胸腔镜解剖性肺段切除术中的应用价值。方法回顾性研究2020年6月至2021年6月安徽省胸科医院280例(荧光法145例,改良膨胀-萎陷法135例)行胸腔镜解剖性肺段切除术患者的临床资料。其中简单肺段组113例,复杂肺段组167例,使用倾向性匹配分析法校正复杂肺段组中荧光法和改良膨胀-萎陷法患者的基线数据后,分别比较两组中荧光法和改良法患者的围手术期指标。结果简单肺段组中荧光法和改良膨胀萎陷法患者在肺段切除时间、术中出血量、术后引流量、术后疼痛感、术后拔管时间、住院时间、并发症发生率及住院总费用差异无统计学意义。而在复杂肺段组中,荧光法在肺段切除时间上较改良膨胀萎陷法明显缩短,差异有统计学意义(P<0.05),其余指标差异无统计学意义。结论单孔胸腔镜解剖性肺段切除术中,荧光法与改良膨胀-萎陷法的围手术期安全性及短期疗效一致,荧光法在复杂肺段手术中运用可明显缩短手术时间,提高手术效率。Objective To investigate the application value of fluorescence imaging in single-port thoracoscopic anatomic segmentectomy.Methods The clinical data of 280 patients(145 patients with fluorescence method and 135 patients with modified inflation-deflation method)who underwent thoracoscopic anatomic segmentectomy were retrospectively studied in the Anhui Chest Hospital from June 2020 to June 2021.There were 113 patients in the simple segmentectomy group and 167 patients in the complex segmentectomy group.The baseline data of the fluorescence method and the modified inflation-deflation method in the complex segmentectomy group were corrected by propensity score matching,and the perioperative results were compared between the groups.Results There were no significant differences in segmental resection time,intraoperative blood loss,postoperative drainage,postoperative pain,postoperative extubation time,length of hospital stay,incidence of complications and cost of hand-holding between the fluorescence method and the modified method of the simple segmentectomy group.In the complex segmentectomy group,the time of segmental resection with the fluorescence method was significantly shorter than that with the modified inflation-deflation method(P<0.05),and other indexes had no significant difference.Conclusion Fluorescence method single-port thoracoscopic anatomic segmentectomy has the same perioperative safety and short-term efficacy as modified inflation-deflation method,which can significantly shorten the operative time and improve the operative efficiency in complex anatomic segmentectomy.

关 键 词：解剖性肺段切除术 荧光法 吲哚菁绿 改良膨胀-萎陷法 

分 类 号：R655.3[医药卫生—外科学]