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小单孔胸腔镜预防性肺动脉阻断术的应用探索 被引量:3

Pretreatment blocking of pulmonary artery for single-incision thoracoscopic lobectomy
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摘要 为探索小单孔胸腔镜预防性肺动脉阻断术的可行性及效果,回顾分析2014年9月至2016年12月,华中科技大学同济医学院附属同济医院胸外科19例小单孔胸腔镜肺叶切除术,术中肺动脉出血的患者。按是否采用了预防性肺动脉阻断技术,分为阻断组和非阻断组两组,对比分析两组中转为多孔或开放情况;肺动脉修补时间(自出血至修补完成);修补期间出血量;术后住院时间及术后并发症发生情况。其中阻断组中转率开放为0,中转两孔率为18.2%,明显优于非阻断组(中转开放率为62.5%,中转两孔率12.5%,中转三孔率12.5%);阻断组的肺动脉修补时间及失血量[(10.1±3.2)min,(23.6±11.2)ml]均明显少于非阻断组[(18.3±5.5)min,(47.5±14.9)ml],P<0.05。而两组术后住院时间、并发症发生情况,差异无统计学意义。结果表明预防性肺动脉阻断技术明显减少了单孔胸腔镜中转率、失血量、输血量,缩短了肺动脉修补的时间,效果显著,值得进一步推广应用。
作者 张瑞杰 张霓 Zhang Ruijie;Zhang Ni(Department of Thoracic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处 《中华胸心血管外科杂志》 CSCD 北大核心 2019年第2期111-113,共3页 Chinese Journal of Thoracic and Cardiovascular Surgery
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