单操作孔电视胸腔镜手术的护理

Nursing of patients during uniportal video-assisted thoracoscopic surgery

目的探讨单操作孔电视胸腔镜手术(Video-Assisted Thoracoscopic Surgery,VATS)的围手术期护理。方法回顾性分析2006年8月-2010年3月我科173例单操作孔VATS的临床资料,分析围手术期护理特点。结果 173例中肺叶切除29例,肺楔形切除112例,纵隔肿瘤切除32例。患者术后疼痛轻,术后1-3d下床活动,胸腔引流管拔出时间(3.1±1.6)d,术后平均住院时间(6.2±2.2)d。全部患者恢复顺利,无严重并发症,无围手术期死亡。结论单操作孔VATS患者术后疼痛轻、恢复快,针对性护理有利于患者康复。

Objective To study the nursing of patients during uniportal video-assisted thoracoscopic surgery（VATS）. Methods Clinical data about nursing of 173 patients during uniportal VATS performed in our department from August 2006 to March 2010 were retrospectively analyzed. Results Of the 173 patients, 29 underwent lobectomy, 112 underwent pulmonary wedge resection, and 32 underwent mediastinal tumor resection. The pain was relived after operation. All the patients could move about out of their bed 1-3d after operation. The average chest tube drainage time was （3.1 ± 1.6）d, and the mean hospital stay time was （6.2 ± 2.2）d. All the patients had a smoothly recovery without severe complications. No patient died after operation. Conclusion Uniportal VATS has the advantages of less pain and rapid recovery. Carefully nursin~ of patients can speed up their recovery.