单操作孔胸腔镜与三维电视技术辅助小切口手术治疗肺大泡并自发性气胸的临床对比

Clinical comparison of single-hole thoracoscopic surgery and three-dimensional video technology assisted small incision surgery in the treatment of pulmonary bullae complicated with spontaneous pneumothorax

目的 探讨在肺大泡并自发性气胸(SP)中实施单操作孔胸腔镜与三维电视技术辅助小切口手术的临床对比。方法 选择2019年6月—2021年6月本院收治的肺大泡并SP患者86例作为研究对象,随机抽样法分为实验组和参照组两组,每组各43例。参照组予以单操作孔胸腔镜手术治疗,实验组予以三维电视技术辅助小切口手术治疗,比较两组围术期指标、肺功能、血气指标和治疗费用等。结果 实验组(三维电视技术辅助小切口手术)引流用时与住院用时短于参照组(单操作孔胸腔镜手术),出血量、术后引流量少于参照组(单操作孔胸腔镜手术)(P<0.05),而两组手术用时对比无差异(P>0.05)。术前对比,两组MVV、FVC、TLC指标与血气指标对比无差异(P>0.05);两组术后1个月MVV、FVC、TLC和PaCO_(2)指标均下降,且实验组(三维电视技术辅助小切口手术)三项指标均低于参照组(单操作孔胸腔镜手术),术后1个月PaO_(2)值升高,且实验组(三维电视技术辅助小切口手术)PaO_(2)值高于参照组(单操作孔胸腔镜手术)(P<0.05)。实验组(三维电视技术辅助小切口手术)一次性耗材花费、住院花费与总费用少于参照组(单操作孔胸腔镜手术);而两组麻醉及手术费对比无差异(P>0.05)。结论 在肺大泡并SP患者治疗中,三维电视技术辅助小切口手术的疗效显著,有助于改善围术期指标,促进肺功能提高,减少治疗费用,值得推广。

Objective To investigate the clinical comparison of single-port thoracoscopic surgery and three-dimensional video-assisted small incision surgery in treating pulmonary bullae complicated with spontaneous pneumothorax(SP).Methods A total of 86 patients suffered from pulmonary bullae and SP who were treated in our hospital from June 2019 to June 2021 were selected as study subjects, and they were randomly divided into two groups of control group and experimental group, 43 cases in each group.The control group was treated with single-hole thoracoscopic surgery, and patients in the experimental group were treated with three-dimensional television technology assisted small incision surgery.The perioperative indexes, lung function, blood gas indexes and treatment costs were compared between the two groups.Results The drainage time and hospitalization time of the experimental group(three-dimensional TV technology-assisted small incision surgery) were shorter than those of the reference group(single-hole thoracoscopic surgery),and the blood loss and postoperative drainage volume were less than those of the reference group(P<0.05);There was no difference in the operation time between the two groups(P>0.05).Before operation, there were no significant differences in maximum voluntary ventilation(MVV),forced vital capacity(FVC),total lung capacity(TLC) indexes and blood gas indexes between the two groups(P>0.05).MVV,FVC,TLC and PaCO_(2)indexes in the two groups decreased at 1 month after operation, and the indexes of the experimental group were lower than those of the control group;the PaO_(2)value increased 1 month after the operation, and the PaO_(2)value of the experimental group was higher than that of the control group(P<0.05).The one-time consumables cost, hospitalization cost and total cost of the experimental group were lower than those of the control group;there was no significant difference in anesthesia and surgery costs between the two groups(P>0.05).Conclusions In the treatment of patients with pulmonary bullae and SP,3D TV technology assisted small incision surgery has a significant effect, which is helpful to improve perioperative indicators, promote the improvement of lung function, and reduce the cost of treatment, worth of.