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胸腔镜肺大泡切除术治疗肺大泡的临床效果观察 被引量:2

Clinical effect of thoracoscopic pulmonary bulla resection in the treatment of pulmonary bullae
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摘要 目的观察胸腔镜肺大泡切除术治疗肺大泡的临床效果.方法选择2011年10月至2016年11月在我院接受治疗的肺大泡患者100例作为研究对象,随机分为观察组和对照组,各50例,分别接受腹腔镜肺大泡切除术和开胸手术治疗,比较两组患者的肺功能、动脉血气指标、平均手术时间、住院时间、术中出血量和术后并发症发生情况.结果观察组PaO2(78.4±7.6)mmHg,PaCO2(35.2±1.6)mmHg,PVC(2.9±0.3)L,RV(3.2±0.5)L;对照组PaO2(64.2±8.4)mmHg,Pa-CO2(39.8±1.2)mmHg,PVC(2.1±0.2)L,RV(3.8±0.4)L,组间比较差异有统计学意义(P〈0.05).观察组平均手术时间(40.6±2.8)min,住院时间(6.4±0.9)d,术中出血量(21.3±6.2)mL,术后出现并发症4例;对照组患者平均手术时间(122.7±6.4)min,住院时间(14.3±1.2)d,术中出血量(86.5±4.9)mL,术后出现并发症12例,组间比较差异有统计学意义(P〈0.05).结论胸腔镜肺大泡切除术治疗肺大泡疗效显著,值得临床应用与推广. Objective To investigate the clinical effect of thoracoscopic pulmonary bulla resection in the treatment of pulmonary bullae. Methods One hundred patients with pulmonary bulla treated in our hospital from October 2011 to November 2016 were selected as the objects and randomly divided into observation group and control group, with 50 cases in each group. The observation group and the control group rceived laparoscopic bullae resection and open surgery respectively. The pulmonary function, arterial blood gas parameters, mean operative time, hospital stay, intraoperative blood loss and postoperative complications were compared between the two groups. Results In the observation group, the average PaO2 level was (78.4±7.6) mmHg,PaCO2 was (35.2±1.6)mmHg,PVC was (2.9±0.3)L,RV was (3.2±0.5)L;in the control group,PaO2 was (64.2±8.4) mmHg,PaCO2 was (39.8±1.2)mmHg,PVC was (2.1±0.2)L,RV was (3.8±0.4)L,the differences were significant between the two groups(P〈0.05).In the observation group,the average operation time was(40.6±2.8)min,hospitalization time was(6.4土 0.9) d, the intraoperative blood loss was (21.3±6.2)mL,complications were found in 4 cases;in the control group,the average operation time was (122.7±6.4)min,hospitalization time was (14.3±1.2)d,the intraoperative blood loss was (86.5±4.9)mL, complications were found in 2 cases, there were significant differences between the two groups (P 〈0.05). Conclusion Thoracoscopic pulmonary bulla resection has remarkable curative effect, which is worthy of clinical application and promotion.
作者 景向永
机构地区 巩义市人民医院
出处 《临床研究》 2017年第4期60-61,共2页 Clinical Research
关键词 胸腔镜 肺大泡切除术 肺大泡 thoracoscopy pulmonary bulla resection pulmonary bulla
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