电视胸腔镜双侧肺减容术治疗慢性阻塞性肺气肿的并发症发生率及效果观察  

Complications Incidence and Effect Observation Bilateral Lung Volume Reduction Surgery Under Video-assisted Thoracoscopy for Chronic Obstructive Pulmonary Emphysema

作　　者：郑楠 管涛 ZHENG Nan;GUAN Tao(Thoracic and Cardiovascular Surgery Department,Qinghai Provincial Cardiovascular and Cerebrovascular Disease Specialized Hospital,Xining,Qinghai 810099)

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810099

出　　处：《智慧健康》2024年第1期49-52,共4页Smart Healthcare

摘　　要：目的探讨应用电视胸腔镜双侧肺减容术治疗慢性阻塞性肺气肿的治疗效果及其对并发症发生的影响。方法选取2020年1月—2023年本院收治的62例慢性阻塞性肺气肿患者为研究对象,并按照随机分组法分为对照组和观察组,每组31例。其中,对照组采用常规治疗(开胸减容术),观察组采用电视胸腔镜手术(双侧胸减容术)。基于不同的治疗方式,对比两组的治疗效果、并发症发生情况等。结果对比两组患者治疗后肺部感染、呼吸衰竭等并发症发生情况,得出的数据对比不一致(P<0.05)。治疗前两组患者的肺功能指标具有一致性(P>0.05);治疗后,观察组的FEV1指标上升明显,RV和TLC指标下降明显,与对照组对比均存在差异(P<0.05)。对比手术治疗的相关指标,对照组手术时间、住院时间及胸管引流时间均较长(P<0.05);对照组手术中出血量多于观察组(P<0.05)。观察组治疗有效率明显高于对照组(P<0.05)。结论治疗慢性阻塞性肺气肿,在肺减容手术中应用电视胸腔镜,相比开胸手术,治疗效果显著,并发症发生率低,有助于促进患者肺部功能的改善,并且能够缩短手术时间、减少患者出血量,手术安全性较高,同时能够缩短术后恢复时间,改善预后效果,值得临床推广应用。Objective To explore and analyze curative effect of bilateral lung volume reduction surgery video-assisted thoracoscopy for patients with chronic obstructive pulmonary emphysema,and its effect on incidence of complications.Methods The paper chose 62 patients with chronic obstructive pulmonary emphysema admitted to our hospital from January 2020 to January 2023,and divided them into two groups with computer randomly,with same number of participants in two groups.Control group of 31 cases was treated with routine treatment(open chest lung volume reduction surgery),observation group of remaining cases with bilateral lung volume reduction treatment under thoracoscopy.Curative effect and incidence of complications was compared between two groups based on different treatment methods.Results Incidence of complications including pulmonary infection and respiratory failure after treatment was compared between two groups,data was inconsistent(P<0.05).Lung function indicators between two groups before treatment were consistent(P>0.05).After treatment,FEV1 index of observation group increased significantly,while RV and TLC indexes decreased significantly,there was difference between two groups(P<0.05).Comparison of relevant indicators of surgical treatment showed,control group had longer surgical time,hospital stay,and chest tube drainage time(P<0.05).Bleeding amount during surgery in control group was higher than observation group(P<0.05).Effective rate of treatment in observation group was 90.32%,significantly higher than 64.52%in control group(P<0.05).Conclusion Video-assisted thoracoscopy can achieve better effect in lung volume reduction surgery than open chest surgery for chronic obstructive pulmonary emphysema,with lower incidence of complications,can improve lung function of patients,shorten surgical time,reduce patient bleeding with high surgical safety.At the same time,it can shorten postoperative recovery time and improve prognosis,which is worthy of clinical promotion and application.

关 键 词：电视胸腔镜 双侧肺减容术 慢性阻塞性肺气肿 并发症 效果 

分 类 号：R655.3[医药卫生—外科学]