本文選題：胸腔鏡 + 開胸手術��； 參考：《中國微創(chuàng)外科雜志》2017年04期

【摘要】：目的探討全胸腔鏡與開胸手術治療肺隔離癥(pulmonary sequestration,PS)的療效。方法回顧性分析我院2003年1月~2016年3月手術治療的48例肺隔離癥資料,根據(jù)患者經(jīng)濟條件,行全胸腔鏡手術18例,開胸手術30例。行肺葉切除或隔離肺切除術。比較2組的術中出血量、術后當日胸腔引流量、術后鎮(zhèn)痛時間、胸腔引流時間及術后住院時間。結果與開胸組比較,全胸腔鏡組術中出血少[(56.1±50.4)ml vs.(120.0±54.2)ml,t=-3.813,P=0.000],術后當日胸腔引流量少[(160.0±56.0)ml vs.(280.0±65.0)ml,t=-6.100,P=0.000],術后鎮(zhèn)痛時間短[(2.4±1.2)d vs.(7.6±1.9)d,t=-9.650,P=0.000],胸腔引流時間短[(2.8±1.0)d vs.(5.7±1.5)d,t=-6.755,P=0.000],術后住院時間短[(6.5±2.6)d vs.(10.1±2.8)d,t=-4.160,P=0.000]。2組手術時間差異無統(tǒng)計學意義(P0.05)。術后發(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,開胸組為3、2、1例,2組差異無統(tǒng)計學意義(P0.05)。結論全胸腔鏡手術治療肺隔離癥較傳統(tǒng)開胸手術創(chuàng)傷小,術中出血少,疼痛輕,恢復快,住院時間短,是一種可靠安全的手術方式。
[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：1905730