单孔胸腔镜肺大疱切除术治疗老年自发性气胸合并肺大疱的效果

Effect of Single-port Thoracoscopic Bullotomy in the Treatment of Elderly Spontaneous Pneumothorax Complicated with Bullosa

目的:观察单孔胸腔镜肺大疱切除术治疗老年自发性气胸合并肺大疱的效果。方法:选取2016年8月—2023年8月张掖市甘州区人民医院收治的老年自发性气胸合并肺大疱患者60例作为研究对象,使用随机数字法分为观察组与对照组,各30例。对照组行三孔胸腔镜肺大疱切除术,观察组行单孔胸腔镜肺大疱切除术。比较两组围术期指标、肺功能、术后并发症发生情况。结果:观察组引流管留置时间、术后住院时间短于对照组,差异有统计学意义(P<0.001);术后,两组第1秒用力呼气容积占预计值的百分比、肺总量、肺残气量升高,观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P=0.028)。结论:单孔胸腔镜肺大疱切除术治疗老年自发性气胸合并肺大疱的效果显著,可加速术后恢复,改善肺功能,降低术后并发症发生率。

Objective:To observe the effect of single-port thoracoscopic bullotomy in the treatment of elderly spontaneous pneumothorax complicated with bullosa.Methods:Sixty elderly patients with spontaneous pneumothorax complicated with pulmonary bullosa admitted to Zhangye Ganzhou District People's Hospital from August 2016 to August 2023 were selected as the study objects,and were divided into observation group and control group by random number method,with thirty cases in each group.The control group underwent three-port thoracoscopic bullotomy,and the observation group underwent single-port thoracoscopic bullotomy.Perioperative indexes,lung function and postoperative complications were compared between the two groups.Results:The retention time of drainage tube and postoperative hospitalization time in observation group were shorter than those in control group,the difference was statistically significant(P<0.001);after operation,the percentage of forced expiratory volume in the first second in the predicted value,total lung volume and residual lung volume of the two groups were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);the incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.028).Conclusion:Single-port thoracoscopic bullotomy is effective in the treatment of elderly spontaneous pneumothorax complicated with bullosa,which can accelerate postoperative recovery,improve lung function and reduce the incidence of postoperative complications.