本文選題：單操作孔 + 胸腔鏡��； 參考：《延安大學》2013年碩士論文

【摘要】：目的：對單操作孔胸腔鏡和3孔胸腔鏡治療自發(fā)性氣胸作前瞻性對照研究，了解單操作孔胸腔鏡的臨床應(yīng)用價值。方法：收集2010年1月至2013年1月間的自發(fā)性氣胸病人50例，利用單雙數(shù)抽簽法將病人分為兩組，電腦隨機分配數(shù)字，奇數(shù)歸為單操作孔治療組，而偶數(shù)則歸為3孔治療組。為了避免年齡偏差對研究的影響，我們選擇了16至55歲之間的病人；并排除了術(shù)前檢查為多發(fā)性肺大泡患者。數(shù)據(jù)采用醫(yī)學統(tǒng)計軟件PEMS3.1處理，計量資料采用t檢驗，計數(shù)資料采用卡方檢驗。結(jié)果：兩組患者術(shù)中麻醉都比較滿意；單操作孔與傳統(tǒng)標準胸腔鏡組相比，手術(shù)由于少了一個操作孔，切口總長度明顯縮短（P=0.0001）；兩組在術(shù)中出血量上無明顯顯統(tǒng)計學意義（P=0.5932）；術(shù)后引流量上，單操作孔治療組均數(shù)為308.8±87.10ml，3孔治療組均數(shù)為401.6±118.35ml，具有明顯統(tǒng)計學差異（P=0.0027），具體原因可能是多一個操作孔引起胸壁滲出增多。術(shù)后疼痛調(diào)查，在伴有明顯疼痛、微痛傷口麻木者的總數(shù)上，單操作孔治療組明顯少于3孔治療組（P=0.0039），說明在對胸壁的影響方面，單操作孔優(yōu)于3孔胸腔鏡，有統(tǒng)計學意義。其他術(shù)后指標在手術(shù)時間、住院時間等方面兩者無明顯區(qū)別。結(jié)論：單操作孔胸腔鏡可以取得與3孔胸腔鏡一樣的手術(shù)效果，而且更微創(chuàng)，，能夠提高患者的術(shù)后生活質(zhì)量。
[Abstract]:Objective: to study the clinical value of single-hole thoracoscopy and 3-hole thoracoscopy in the treatment of spontaneous pneumothorax. Methods: 50 patients with spontaneous pneumothorax from January 2010 to January 2013 were divided into two groups by single and even drawing lots. To avoid the effect of age bias on the study, we selected patients between 16 and 55 years of age and excluded preoperative examinations of multiple alveoli. The data were processed by PEMS3.1, t-test was used for metrological data, and chi-square test was used for counting data. Results: the anesthesia was satisfactory in both groups, the single operating hole was one less than that in the traditional standard thoracoscopic group. The total length of incision was significantly shortened by 0.0001m, there was no significant difference in blood loss during operation between the two groups, and there was no significant difference in the volume of bleeding between the two groups. The mean value of single hole treatment group was 308.8 鹵87.10 ml / ml, the mean value of the treatment group was 401.6 鹵118.35 ml, there was significant difference between the two groups. The specific reason might be that more than one operating hole could cause the increase of chest wall exudation. In the total number of patients with obvious pain and numbness, the single hole treatment group was significantly less than 3 hole treatment group (P 0. 0039), which indicated that the single operation hole was superior to 3 hole thoracoscopy in the influence of chest wall. There was no significant difference in operative time and hospital stay between the two groups. Conclusion: single-hole thoracoscopy can achieve the same effect as 3-hole thoracoscopy, and it is more minimally invasive and can improve the postoperative quality of life of the patients.
【學位授予單位】：延安大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R655

【參考文獻】

相關(guān)期刊論文 前8條

1 初向陽;薛志強;張連斌;侯曉斌;馬克峰;;單操作孔胸腔鏡肺葉切除術(shù)的初步報道[J];中國肺癌雜志;2010年01期

2 王擁軍;張澍田;;微創(chuàng)治療的新紀元——從腹腔鏡膽囊切除術(shù)到經(jīng)自然孔道胃腸壁外內(nèi)鏡手術(shù)[J];臨床消化病雜志;2007年02期

3 丁國強;張瑛;白舒;劉鴻運;張大勇;于四海;;經(jīng)濟欠發(fā)達地區(qū)電視胸腔鏡手術(shù)287例次分析[J];微創(chuàng)醫(yī)學;2010年02期

4 王俊,李劍鋒,張利華,范秀軍,陳鴻義;胸腔鏡輔以胸壁小切口的全肺切除術(shù)[J];中華胸心血管外科雜志;1998年04期

5 王俊;楊帆;;我國胸部微創(chuàng)外科的發(fā)展現(xiàn)狀和方向[J];中華醫(yī)學雜志;2006年33期

6 李運;李劍鋒;劉軍;姜冠潮;趙輝;王俊;;電視硬質(zhì)氣管鏡治療大氣道良性腫瘤[J];中國微創(chuàng)外科雜志;2005年12期

7 王俊;劉彥國;;胸腔鏡外科——傳統(tǒng)胸外科之“升級版”[J];中國微創(chuàng)外科雜志;2010年02期

8 郭建極;陳銘伍;冼磊;廖緒強;郭永寬;劉濤;;胸外科研究生胸腔鏡手術(shù)的培養(yǎng)與訓練[J];中國現(xiàn)代醫(yī)生;2012年32期

本文編號：1919350