CAJ | 학술논문

目的：分析单操作孔胸腔镜手术在支气管扩张治疗中的应用价值。方法选取支气管扩张患者53例，将其分为观察组和对照组，观察组30例，对照组23例。观察组采用单操作孔胸腔镜手术实施治疗；对照组采用传统开胸手术治疗，比较两组患者的临床指标，术后并发症发生率。结果与对照组相比，观察组平均手术时间、术中出血量、平均带管时间、平均术后住院时间均有不同程度的减少，且差异具有统计学意义（ P＜0.05）。结论单操作孔胸腔镜手术进行支气管扩张的治疗具有安全性及科学性。值得临床应用与推广。
목적：분석단조작공흉강경수술재지기관확장치료중적응용개치。방법선취지기관확장환자53례，장기분위관찰조화대조조，관찰조30례，대조조23례。관찰조채용단조작공흉강경수술실시치료；대조조채용전통개흉수술치료，비교량조환자적림상지표，술후병발증발생솔。결과여대조조상비，관찰조평균수술시간、술중출혈량、평균대관시간、평균술후주원시간균유불동정도적감소，차차이구유통계학의의（ P＜0.05）。결론단조작공흉강경수술진행지기관확장적치료구유안전성급과학성。치득림상응용여추엄。
Objective To explore the therapeutic effect of single utility port video-assisted tho-racoscopic surgery ( VATS) in bronchiectasis treatment , and to provide a reference for clinical decision making in perioperative patients with bronchiectasis .Methods Fifty-three cases of bronchiectasis patients from September 2011 to June 2014 in the First Affiliated Hospital of Harbin Medical University were collected and randomly divided into control group and observa-tion group .Patients of observation group were performed VATS , patients of control group were performed traditional open chest operation.The intraoperative blood loss, postoperative compli-cations incidence , postoperative pain score and postoperative recovery condition were com-pared.Results There were significant differences between the two groups in intraoperative bleeding and postoperative complication incidence ( P<0.05 ) .The tube drainage time and post operative hospital stay time of the patients in the observation group was significantly less than that in the control group ( P<0.05 ) .The pain score of the patients in the observation group on the 1st day and 3rd day were significantly lower than that in the control group .Con-clusion VATS is safe and reliable , it is worthy of clinical application and promotion .