中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
3期
311-312
,共2页
肉芽肿,浆细胞,肺%肺切除术%胸腔镜检查
肉芽腫,漿細胞,肺%肺切除術%胸腔鏡檢查
육아종,장세포,폐%폐절제술%흉강경검사
Granuloma,plasma cell,Pulmonary%Pneumonectomy%Thoracoscopy
目的 比较采用胸腔镜手术与剖胸探查手术肺楔形切除治疗肺炎性假瘤的临床效果.方法 46例肺炎性假瘤患者在知情同意情况下,按照患者意愿分为观察组24例和对照组22例,对照组采用剖胸探查肺楔形切除术治疗,观察组采用电视胸腔镜下肺楔形切除术治疗,比较两组术中出血量、住院时间、预后及并发症发生情况.结果 两组患者均治愈出院.观察组术中出血量(46.0±12.3)ml、住院时间(5.9±1.6)d与对照组的(95.2±18.6)ml、(11.0±2.1)d比较,差异均有统计学意义(t=3.19、3.01,均P＜0.05);两组手术时间分别为(69.2±10.7)min、(70.8±10.5)min,差异无统计学意义(P＞0.05);两组并发症发生率差异无统计学意义(P＞0.05).结论 电视胸腔镜下肺楔形切除术治疗肺炎性假瘤具有术中出血少、愈合快等特点,值得临床推广应用.
目的 比較採用胸腔鏡手術與剖胸探查手術肺楔形切除治療肺炎性假瘤的臨床效果.方法 46例肺炎性假瘤患者在知情同意情況下,按照患者意願分為觀察組24例和對照組22例,對照組採用剖胸探查肺楔形切除術治療,觀察組採用電視胸腔鏡下肺楔形切除術治療,比較兩組術中齣血量、住院時間、預後及併髮癥髮生情況.結果 兩組患者均治愈齣院.觀察組術中齣血量(46.0±12.3)ml、住院時間(5.9±1.6)d與對照組的(95.2±18.6)ml、(11.0±2.1)d比較,差異均有統計學意義(t=3.19、3.01,均P＜0.05);兩組手術時間分彆為(69.2±10.7)min、(70.8±10.5)min,差異無統計學意義(P＞0.05);兩組併髮癥髮生率差異無統計學意義(P＞0.05).結論 電視胸腔鏡下肺楔形切除術治療肺炎性假瘤具有術中齣血少、愈閤快等特點,值得臨床推廣應用.
목적 비교채용흉강경수술여부흉탐사수술폐설형절제치료폐염성가류적림상효과.방법 46례폐염성가류환자재지정동의정황하,안조환자의원분위관찰조24례화대조조22례,대조조채용부흉탐사폐설형절제술치료,관찰조채용전시흉강경하폐설형절제술치료,비교량조술중출혈량、주원시간、예후급병발증발생정황.결과 량조환자균치유출원.관찰조술중출혈량(46.0±12.3)ml、주원시간(5.9±1.6)d여대조조적(95.2±18.6)ml、(11.0±2.1)d비교,차이균유통계학의의(t=3.19、3.01,균P＜0.05);량조수술시간분별위(69.2±10.7)min、(70.8±10.5)min,차이무통계학의의(P＞0.05);량조병발증발생솔차이무통계학의의(P＞0.05).결론 전시흉강경하폐설형절제술치료폐염성가류구유술중출혈소、유합쾌등특점,치득림상추엄응용.
Objective To compare the clinical effect of VATS and thoracotomy pulmonary wedge resection in treatment of pulmonary inflammatory pseudotumor. Methods 46 patients with pulmonary inflammatory pseudotumor were randomly divided into the observation group(24 cases) and the control group(22 cases) ,the control group were treated by thoracotomy pulmonary wedge resection and the observation group were treated by VATS wedge resection,the intraoperative blood loss,hospital stay, prognosis and complications were compared. Results All patients of two groups were cured and discharged. The intraoperative blood loss of observation group[(46. 0±12. 3 ) ml] was significantly less than the control group [(95.2 ± 18. 6) ml] ( t = 3. 19, P ＜ 0. 05 ), and the hospital stay was significantly shorter than the control group( t = 3.01,P ＜ 0. 05 ), the difference of the incidence of complications of two groups was not statistically significant( P ＞ 0. 05 ). Conclusion VATS wedge resection of pulmonary inflammatory pseudotumor had features of less bleeding and quicker healing characteristics,could be worthy of clinical application.
