本文選題：胸腔鏡 + 開(kāi)胸手術(shù)�。� 參考：《中國(guó)微創(chuàng)外科雜志》2017年04期

【摘要】：目的探討全胸腔鏡與開(kāi)胸手術(shù)治療肺隔離癥(pulmonary sequestration,PS)的療效。方法回顧性分析我院2003年1月~2016年3月手術(shù)治療的48例肺隔離癥資料,根據(jù)患者經(jīng)濟(jì)條件,行全胸腔鏡手術(shù)18例,開(kāi)胸手術(shù)30例。行肺葉切除或隔離肺切除術(shù)。比較2組的術(shù)中出血量、術(shù)后當(dāng)日胸腔引流量、術(shù)后鎮(zhèn)痛時(shí)間、胸腔引流時(shí)間及術(shù)后住院時(shí)間。結(jié)果與開(kāi)胸組比較,全胸腔鏡組術(shù)中出血少[(56.1±50.4)ml vs.(120.0±54.2)ml,t=-3.813,P=0.000],術(shù)后當(dāng)日胸腔引流量少[(160.0±56.0)ml vs.(280.0±65.0)ml,t=-6.100,P=0.000],術(shù)后鎮(zhèn)痛時(shí)間短[(2.4±1.2)d vs.(7.6±1.9)d,t=-9.650,P=0.000],胸腔引流時(shí)間短[(2.8±1.0)d vs.(5.7±1.5)d,t=-6.755,P=0.000],術(shù)后住院時(shí)間短[(6.5±2.6)d vs.(10.1±2.8)d,t=-4.160,P=0.000]。2組手術(shù)時(shí)間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后發(fā)生肺部感染、心律失常、肺不張全胸腔鏡組分別為1、0、1例,開(kāi)胸組為3、2、1例,2組差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論全胸腔鏡手術(shù)治療肺隔離癥較傳統(tǒng)開(kāi)胸手術(shù)創(chuàng)傷小,術(shù)中出血少,疼痛輕,恢復(fù)快,住院時(shí)間短,是一種可靠安全的手術(shù)方式。
[Abstract]:Objective to evaluate the efficacy of total thoracoscopy and thoracotomy in the treatment of pulmonary sequestration. Methods from January 2003 to March 2016, 48 cases of pulmonary sequestration were analyzed retrospectively. According to the economic conditions of the patients, 18 cases underwent total thoracoscopic surgery and 30 cases underwent thoracotomy. Lobectomy or isolation pneumonectomy is performed. The amount of intraoperative bleeding, postoperative drainage volume, postoperative analgesia time, thoracic drainage time and postoperative hospitalization time were compared between the two groups. 緇撴灉涓庡紑鑳哥粍姣旇緝,鍏ㄨ兏鑵旈暅緇勬湳涓嚭琛，

本文編號(hào)：1905730