国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
24期
3728-3730
,共3页
于文江%刘丽%贾伟%岳志%余辉%骆东峰
于文江%劉麗%賈偉%嶽誌%餘輝%駱東峰
우문강%류려%가위%악지%여휘%락동봉
同期不变换体位%胸腔镜%双侧肺大泡切除%临床疗效
同期不變換體位%胸腔鏡%雙側肺大泡切除%臨床療效
동기불변환체위%흉강경%쌍측폐대포절제%림상료효
Unchanged body position in the same term%Thoracoscope%Bilateral bullae of lung excision%Clinical effects
目的 观察同期不变换体位行胸腔镜双侧肺大泡切除术的临床疗效.方法 选取2007年1月至2013年5月期间在我院住院治疗的胸部螺旋CT明确诊断40例双侧肺大泡患者作为研究对象.随机分为实验组和对照组,对照组采取常规的开胸手术,实验组采取同期不变换体位行胸腔镜双侧肺大泡切除术.结果 采取同期不变换体位行胸腔镜双侧肺大泡切除术的实验组的手术时间、术中出血量、住院时间、下床活动时间、疼痛时间以及术后引流明显低于采取常规开胸手术的对照组,差异有统计学意义(P＜0.05);实验组切口感染、肺部感染、复张性肺水肿、包裹性胸腔积液、肺功能不全术后并发症发生率明显低于采取常规开胸手术的对照组,差异有统计学意义(P＜0.05).结论 同期不变换体位行胸腔镜双侧肺大泡切除术临床效果显著.
目的 觀察同期不變換體位行胸腔鏡雙側肺大泡切除術的臨床療效.方法 選取2007年1月至2013年5月期間在我院住院治療的胸部螺鏇CT明確診斷40例雙側肺大泡患者作為研究對象.隨機分為實驗組和對照組,對照組採取常規的開胸手術,實驗組採取同期不變換體位行胸腔鏡雙側肺大泡切除術.結果 採取同期不變換體位行胸腔鏡雙側肺大泡切除術的實驗組的手術時間、術中齣血量、住院時間、下床活動時間、疼痛時間以及術後引流明顯低于採取常規開胸手術的對照組,差異有統計學意義(P＜0.05);實驗組切口感染、肺部感染、複張性肺水腫、包裹性胸腔積液、肺功能不全術後併髮癥髮生率明顯低于採取常規開胸手術的對照組,差異有統計學意義(P＜0.05).結論 同期不變換體位行胸腔鏡雙側肺大泡切除術臨床效果顯著.
목적 관찰동기불변환체위행흉강경쌍측폐대포절제술적림상료효.방법 선취2007년1월지2013년5월기간재아원주원치료적흉부라선CT명학진단40례쌍측폐대포환자작위연구대상.수궤분위실험조화대조조,대조조채취상규적개흉수술,실험조채취동기불변환체위행흉강경쌍측폐대포절제술.결과 채취동기불변환체위행흉강경쌍측폐대포절제술적실험조적수술시간、술중출혈량、주원시간、하상활동시간、동통시간이급술후인류명현저우채취상규개흉수술적대조조,차이유통계학의의(P＜0.05);실험조절구감염、폐부감염、복장성폐수종、포과성흉강적액、폐공능불전술후병발증발생솔명현저우채취상규개흉수술적대조조,차이유통계학의의(P＜0.05).결론 동기불변환체위행흉강경쌍측폐대포절제술림상효과현저.
Objective To observe the clinical effects of unchanged body position in the same term in bilateral bullae of lung excision with thoracoscope.Methods 40 cases with bilateral bullae of lung treated in our hospital from January 2007 to Mav 2013 were selected as the research ohjeets.They were divided into experimental group and control group,and patients in the control group were treated with routine thoracotomy,while those in the experimental group were treated with bilateral bullae of lung excision with thoracoscope in unchanged body position in the same tern.Results The duration of operation,amount of bleeding during operation,length of staying in hospital,activity time off bed,pain time,and drainage after operation of patients in the experiment group were obviously lower than those of patients in the control group and the difference showed a statistical significance (P ＜ 0.05); the infection of incisioual wound,pulmonary infection,reexpansion pulmonary edema,pleural effusion and the complication rate after operation which was resulted by pulmonary insufficiency in the experiment were obviously lower than those of patients who were adopted routine thoracotomy in the control group.The difference had a statistical significance (P ＜ 0.05).Conclusion Thoracoscope with unchanged body position in the same term for bilateral bullae of lung excision has great clinical effects.
