文章摘要
单孔胸腔镜手术治疗肺结节的临床疗效
Clinical effects of single-hole thoracoscopy in treatment of pulmonary nodule
投稿时间:2020-09-12  
DOI:10.3969/j.issn.1000-0399.2021.07.008
中文关键词: 单孔胸腔镜  肺结节  临床疗效
英文关键词: Single-hole thoracoscopy  Lung disease  Clinical effect
基金项目:
作者单位E-mail
朱金美 245000 安徽省黄山首康医院心胸外科  
汪涛 245000 安徽省黄山首康医院心胸外科 hsskwyh@sina.com 
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中文摘要:
      目的 观察单孔胸腔镜手术治疗肺结节的临床疗效。方法 回顾性分析2015年3月至2019年12月在安徽省黄山首康医院胸外科行胸腔镜手术的76例肺结节患者的临床资料。根据手术方式的不同,分为单孔胸腔镜手术组(观察组)与非单孔胸腔镜手术组(对照组),每组38例。比较两组患者手术时间、术中出血量、术后胸腔引流量、术后拔管时间、术后住院时间、住院费用、术后并发症发生率及术后疼痛评分情况的差异。结果 观察组患者手术时间为(159.81±17.79) min、术中出血量为(55.75±19.32) mL、住院费用为(1.97±0.43)万元、术后并发症发生率为7.89%(3/38),与对照组比较,差异均无统计学意义(P>0.05)。观察组患者术后胸腔引流量为(62.49±5.64) mL、术后拔管时间为(2.80±0.55) d、术后住院时间为(6.52±0.50) d,均低于对照组,差异有统计学意义(P<0.05)。两组患者术后第3天的疼痛评分及术前与术后第3天的疼痛评分的差值进行比较,差异有统计学意义(P<0.05)。结论 单孔胸腔镜治疗肺结节较非单孔组恢复快、疼痛轻、创伤小。
英文摘要:
      Objective To observe the clinical efficacy of single-hole thoracoscopic surgery in the treatment of pulmonary nodule. Methods The clinical data of 76 patients with pulmonary diseases who underwent thoracoscopic surgery in the Department of Thoracic Surgery, Huangshan Shoukang Hospital, Anhui Province from March 2015 to December 2019 were retrospectively analyzed. According to different operation methods, the patients were divided into single-arch thoracoscope surgery group (observation group) and single span thoracoscope surgery group (control group), with 38 cases in each group. The differences in operation time, intraoperative blood loss, postoperative chest diversion, postoperative extubation time, postoperative hospital stay, hospital cost, the incidence of postoperative complications, and postoperative pain scores were compared between the two groups. Results In the observation group, the operative time was (159.81±17.79)min, the intraoperative blood loss was (55.75 ±19.32) mL, the hospitalization cost was (1.97±0.43) thousand yuan, and the incidence of postoperative complications was 7.89%(3/38);there was no statistical significance in the differences when compared with control group(P>0.05). In the observation group, the postoperative pleural drainage from thoracic drainage tube was (62.49±5.64) mL, the extubation time was (2.80±0.55) d, and the postoperative hospitalization time was (6.52±0.50) d, all of which were lower than those in control group, and the difference was statistically significant(P<0.05).Conclusions Single-hole thoracoscopy is better than non-single-hole thoracoscopy in the treatment of pulmonary nodule.
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