胸顶胸膜部分切除翻转在自发性气胸患者胸腔镜肺大疱切除术中的应用效果

Effect of partial thoracoparietal pleural resection and reversal in thora coscopic bullae resection of spontaneous pneumothorax

目的:探讨胸顶胸膜部分切除翻转在自发性气胸(SP)患者胸腔镜肺大疱切除术中的应用效果。方法:选取2019年1月至2021年5月期间重庆医科大学附属第一医院渝北医院收治的38例SP患者作为研究对象。按照随机数表法将所选对象分为常模组(n=19)和讨论组(n=19)。对两组患者均进行胸腔镜肺大疱切除术,术中采用机械摩擦的方式对常模组患者进行胸膜固定,对讨论组患者实施胸顶胸膜部分切除翻转。比较两组患者的疗效及各项临床指标。结果:讨论组患者治疗的总有效率高于常模组患者,差异有统计学意义(P<0.05)。讨论组患者的手术时间、术后引流时间和住院时间均短于常模组患者,其术中出血量和术后引流量均少于常模组患者,其术后并发症的发生率低于常模组患者,差异有统计学意义(P<0.05)。结论:对SP患者进行胸腔镜肺大疱切除术时,实施胸顶胸膜部分切除翻转可有效提升其临床疗效,缩短其手术时间、术后引流时间和住院时间,减少其术中出血量和术后引流量,降低其术后并发症的发生率。

Objective:To investigate the application effect of thoracotopical pleural partial resection and reversal in thoracoscopic bullotomy for spontaneous pneumothorax(SP)patients.Methods:A total of 38 SP patients admitted to Yubei Hospital,The First Affiliated Hospital of Chongqing Medical University from January 2019 to May 2021 were selected as the study subjects.According to the random number table method,the selected objects are divided into the norm group(n=19)and discussion group(n=19).Thoracoscopic bullectomy was performed for both groups.During the operation,mechanical friction was used to fix the pleura in the normal group,and partial thoracotopical pleura was performed for the discussion group.The efficacy and clinical indicators of the two groups were compared.Results:The total effective rate in discussion group was higher than that in norm group,the difference was statistically significant(P<0.05).The operative time,postoperative drainage time and hospital stay of patients in discussion group were shorter than those in the norm group,the intraoperative blood loss and postoperative drainage volume were less than those in the norm group,and the incidence of postoperative complications was lower than that in the norm group,the differences were statistically significant(P<0.05).Conclusions:Thoracotopic partial pleural resection and reversal can effectively improve the clinical efficacy,shorten the operation time,postoperative drainage time and hospital stay,reduce the amount of intraoperative blood loss and postoperative drainage,and reduce the incidence of postoperative complications in patients with SP undergoing thoracoscopic bull ectomy.