西宁地区电视胸腔镜下肺叶切除术临床研究

Clinical Research on Pulmonary Lobectomy under TV Thoracoscope at Xining Area

目的:探讨西宁地区电视全胸腔镜肺叶切除临床分析。方法:选取我院自2014年3月—2016年3月,电视胸腔镜下肺叶切除术患者52例,同期随机抽取50例常规开胸肺叶切除患者为对照组,比较两组:1术中出血量、引流管置管时间、术后并发症、术后疼痛程度、住院时间;2比较两组术前、术后肺功能变化,及血气分析变化,并进行统计学分析。结果:1电视胸腔镜下肺叶切除组患者较常规开胸组患者切口长度、术中出血量、术后引流管置管时间、术后疼痛程度、术后并发症及住院时间明显缩短减少(P<0.05);2电视胸腔镜下肺叶切除组术后FVC、FEV1、VC、MVV的减少程度少于常规开胸组(P<0.05)。血气分析示:电视胸腔镜下肺叶切除组术后PaO2、SaO2的上升及PaCO2的下降程度明显大于常规开胸组(P<0.05)。结论:在高海拔地区行电视VSTA下肺叶切除比常规开胸肺叶切除术后疼痛程度、术后并发症及住院时间明显缩短减少,肺功能损伤小,更合适在西宁地区开展此类手术。

Objective：To study the pulmonary lobectomy under TV thoracoscope at Xining area.Method： 52 cases of patients receiving the VATS pulmonary lobectomy from March 2014 to March 2016 in our hospital were enrolled in this study. Meanwhile, 50 cases of patients receiving conventional thoracotomy for pulmonary leboectomy selected as the control group.Then, the amount of intraoperative bleeding, drainage tube remaining time, postoperative pain and complications, hospital stay period were compared between two groups. Moreover, the changes of pulmonary function and blood gas in both groups were also analyzed by statistics.Result：①The amount of intraoperative bleeding, drainage tube remaining time, postoperative pain, postoperative complications, hospital stay period were reduced and shortened in trial group than control （P〈0.05） ;②The reduction degree of FVC.FEV1.VC and MVV in trail group was less than that of control group （P〈0.05）. The blood gas analysis showed that the degree of PaO2 and SaO2 increase and PaCO2 decrease were greater in trial group than the control group （P 〈0.05）.Conelusions： The pulmonary lobectomy under TV thoracoscope is better than conventional thoracotomy for pulmonary lobectomy in all indexes concerning operation and it is more applicable at Xining area.