CAJ | 학술논문

目的：探讨单操作孔胸腔镜下肺大泡切除术的方法及效果。方法10例肺大泡患者采用单操作孔胸腔镜下肺大泡切除术。比较手术前后肺功能及血气分析结果、治疗前后SGRQ评分情况。结果①术前患者FEV1、TLC、RV、MVV、6MW、PaO2及PaCO2分别为(0.72±0.17)L、(6.09±0.56)L、(4.12±0.40)L、(19.28±1.37)L、(211.38±23.25)m、(61.90±8.38)mm Hg(1mm Hg=0.133 kPa)及(45.57±5.59) mm Hg,术后上述指标分别为(1.10±0.35)L、(4.69±0.43)L、(3.22±0.32)L、(34.09±6.38)L、(311.50±44.21)m、(75.21±10.29)mm Hg及(38.73±4.36)mm Hg,上述指标差异均具有统计学意义(P<0.05)；②根据SGRQ评分标准,手术前后呼吸症状、活动受限、疾病影响以及SGRQ总分分别为(65.72±12.38)分、(53.02±10.11)分、(46.39±8.36)分及(51.20±15.38)分,手术后上述评分分别为(41.03±8.37)分、(37.38±8.32)分、(26.34±5.55)分及(31.38±10.22)分,本组手术前后SGRQ评分差异均具有统计学意义(P<0.05)。结论单操作孔胸腔镜下肺大泡切除术疗效显著,患者肺功能及血气功能改善均较为明显,术后生活质量也比较理想,应在临床中加以推广及应用。
목적：탐토단조작공흉강경하폐대포절제술적방법급효과。방법10례폐대포환자채용단조작공흉강경하폐대포절제술。비교수술전후폐공능급혈기분석결과、치료전후SGRQ평분정황。결과①술전환자FEV1、TLC、RV、MVV、6MW、PaO2급PaCO2분별위(0.72±0.17)L、(6.09±0.56)L、(4.12±0.40)L、(19.28±1.37)L、(211.38±23.25)m、(61.90±8.38)mm Hg(1mm Hg=0.133 kPa)급(45.57±5.59) mm Hg,술후상술지표분별위(1.10±0.35)L、(4.69±0.43)L、(3.22±0.32)L、(34.09±6.38)L、(311.50±44.21)m、(75.21±10.29)mm Hg급(38.73±4.36)mm Hg,상술지표차이균구유통계학의의(P<0.05)；②근거SGRQ평분표준,수술전후호흡증상、활동수한、질병영향이급SGRQ총분분별위(65.72±12.38)분、(53.02±10.11)분、(46.39±8.36)분급(51.20±15.38)분,수술후상술평분분별위(41.03±8.37)분、(37.38±8.32)분、(26.34±5.55)분급(31.38±10.22)분,본조수술전후SGRQ평분차이균구유통계학의의(P<0.05)。결론단조작공흉강경하폐대포절제술료효현저,환자폐공능급혈기공능개선균교위명현,술후생활질량야비교이상,응재림상중가이추엄급응용。
Objective To investigate the methods and effect of single operation aperture thoracoscope for pulmonary bulla resection. Methods Retrospectively analyzed clinical data of 10 cases of pulmonary bulla patient, treated with single operation aperture thoracoscopic pulmonary bullae resection. Lung function before and after surgery and blood gas analysis before and after treatment SGRQ(St George’s respiratory questionnaire, SGRQ) score situation were compared. Results ①Preoperative FEV1, TLC, RV, MVV, 6MW, PaO2 and PaCO2 were (0.72±0.17) L, (6.09±0.56) L, (4.12±0.40) L, (19.28±1.37) L , (211.38±23.25) m, (61.90±8.38) mm Hg and (45.57±5.59) mm Hg, respectively, after treatment were (1.10±0.35) L, (4.69±0.43) L, (3.22±0.32) L, ( 34.09±6.38) L, (311.50±44.21) m, (75.21±10.29) mm Hg and (38.73±4.36) mm Hg, these indicators were statistically significant differences(P<0.05);②According to SGRQ scoring criteria, respiratory symptoms, activity limitation, and diseases affecting and SGRQ scores before and after surgery were (65.72±12.38) points, (53.02±10.11) points, (46.39 ± 8.36) points and (51.20 ± 15.38) points, after surgery, scores above were (41.03±8.37) points, (37.38±8.32) points, (26.34±5.55) points and (31.38±10.22) points, SGRQ score differences were statistically significant(P<0.05) before and after surgery in this group. Conclusion Single operation aperture thoracoscope has a significant effect for pulmonary bulla resection, pulmonary function and blood gas function improvement are obvious, postoperative quality of life is also ideal, should be promoted and applied in clinical practice.