中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
24期
3725-3726,3727
,共3页
陶天晓%谢怀顺%孙长海%张新伟%冯希武
陶天曉%謝懷順%孫長海%張新偉%馮希武
도천효%사부순%손장해%장신위%풍희무
肺大疱切除术%肺大疱%胸腔镜检查,电视
肺大皰切除術%肺大皰%胸腔鏡檢查,電視
폐대포절제술%폐대포%흉강경검사,전시
Resection of lung bullae%Pulmonary bulla%Thoracoscopy,television
目的：比较电视胸腔镜下2孔与3孔行先天性肺大疱切除术的临床效果。方法选取先天性肺大疱患者38例，均在电视胸腔镜下行先天性肺大疱切除术，根据胸腔镜操作孔数分为两组，观察组19例采用2孔操作，对照组19例采用3孔操作，比较两组手术时间、术后拔胸管时间、术后平均住院时间、术后镇痛药应用情况。结果观察组手术时间、术后拔胸管时间、术后平均住院时间、镇痛药应用率分别为（46．89±9．11）min、（3．9±0．8）d、（7．3±1．3）d、21．1％，对照组分别为（66．05±12．09）min、（4．3±0．9）d、（7．3±1．5）d、52．6％，两组手术时间、镇痛药应用率差异均有统计学意义（t＝－5．516，χ2＝4．071，均P＜0．05）；38例均治愈出院，随访3～24个月无1例复发。结论电视胸腔下行先天性肺大疱切除术2孔较3孔更加微创，手术时间短、术后镇痛药应用率低。
目的：比較電視胸腔鏡下2孔與3孔行先天性肺大皰切除術的臨床效果。方法選取先天性肺大皰患者38例，均在電視胸腔鏡下行先天性肺大皰切除術，根據胸腔鏡操作孔數分為兩組，觀察組19例採用2孔操作，對照組19例採用3孔操作，比較兩組手術時間、術後拔胸管時間、術後平均住院時間、術後鎮痛藥應用情況。結果觀察組手術時間、術後拔胸管時間、術後平均住院時間、鎮痛藥應用率分彆為（46．89±9．11）min、（3．9±0．8）d、（7．3±1．3）d、21．1％，對照組分彆為（66．05±12．09）min、（4．3±0．9）d、（7．3±1．5）d、52．6％，兩組手術時間、鎮痛藥應用率差異均有統計學意義（t＝－5．516，χ2＝4．071，均P＜0．05）；38例均治愈齣院，隨訪3～24箇月無1例複髮。結論電視胸腔下行先天性肺大皰切除術2孔較3孔更加微創，手術時間短、術後鎮痛藥應用率低。
목적：비교전시흉강경하2공여3공행선천성폐대포절제술적림상효과。방법선취선천성폐대포환자38례，균재전시흉강경하행선천성폐대포절제술，근거흉강경조작공수분위량조，관찰조19례채용2공조작，대조조19례채용3공조작，비교량조수술시간、술후발흉관시간、술후평균주원시간、술후진통약응용정황。결과관찰조수술시간、술후발흉관시간、술후평균주원시간、진통약응용솔분별위（46．89±9．11）min、（3．9±0．8）d、（7．3±1．3）d、21．1％，대조조분별위（66．05±12．09）min、（4．3±0．9）d、（7．3±1．5）d、52．6％，량조수술시간、진통약응용솔차이균유통계학의의（t＝－5．516，χ2＝4．071，균P＜0．05）；38례균치유출원，수방3～24개월무1례복발。결론전시흉강하행선천성폐대포절제술2공교3공경가미창，수술시간단、술후진통약응용솔저。
Objective To compare the effects of thoracoscopic 2 hole and 3 hole for congenital pulmonary bulla resection.Methods 38 cases of congenital pulmonary bulla patients,both in the VATS downlink congenital pulmonary bulla resection.According to the number of holes,thoracoscopic operation were divided into the two groups. To observe the use of group 19 cases of 2 holes,19 cases 3 holes were adopted in the control group.Pull the chest tube operation time,operation time of the two groups were compared after.and the average hospitalization time after opera-tion,postoperative analgesia drug application.Results The observation group operation time,operation time,pulling the chest tube after operation the average hospitalization time, analgesic drug application rate respectively were (46.89 ±9.11)min,(3.95 ±0.85) d,(7.37 ±1.34) d,21.1%,The control group were (66.05 ±12.09) min, (4.37 ±0.98)d,(7.32 ±1.57)d,52.6%.There were statistically significant differences in rate of the two groups in operation time,analgesic drug application.(t=-5.516,χ2 =4.071,P<0.05);38 cases were cured,followed up for 3-24 months,no recurrence occurred in 1 cases.Conclusion Video assisted thoracic descending congenital pulmona-ry bulla resection,the 2 hole 3 hole more than minimally invasive,short operation time,postoperative analgesic use rate is low.
