西宁地区改良胸腔引流术的临床研究

Clinical Research on Pulmonary Lobectomy Under TV Thoracoscope at Xining Area

目的:通过对西宁地区运用改良胸腔引流术治疗胸腔积液的疗效评价及临床意义分析,进一步优化西宁地区胸腔积液的治疗。方法:收集2013年1月1日—2016年1月1日在我科行胸腔改良引流术患者173例,同时又随机收集行常规胸腔闭式引流术患者150例,分别为改良胸腔引流术组与常规胸腔闭式引流术组,通过比较两组疗效、置管时间、患者的疼痛程度、并发症等来评价其优越性。结果:两组的疗效及引流时间无显著性差异(P>0.05)。改良胸腔引流术患者术后并发症、术后疼痛较常规胸腔闭式引流术组患者明显减少,两组数据有统计学意义(P<0.05)。结论:胸腔改良引流术安全性高、疼痛较小、并发症较少,适合多部位置管引流,此方法更适合西宁地区体质较弱且多发包裹积液患者。

Objective：To study the pulmonary lobectomy under TV thoracoscope at Xining area.Method：52cases 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 MW in trail group was less than that of control group（P〈0.05）.The blood gas analysis showed that the degree of PaO2 and SaO2increase and PaCO2 decrease were greater in trial group than the control group（P〈0.05）.Conclusion：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.