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目的探讨单操作孔胸腔镜下肺大泡切除术的方法及效果。方法 10例肺大泡患者采用单操作孔胸腔镜下肺大泡切除术。比较手术前后肺功能及血气分析结果、治疗前后SGRQ评分情况。结果 1术前患者FEV1、TLC、RV、MVV、6MW、PaO2及PaCO2分别为(0.72±0.17)L、(6.09±0.56)L、(4.12±0.40)L、(19.28±1.37)L、(211.38±23.25)m、(61.90±8.38)mm Hg(1mm Hg=0.133 kPa)及(45.57±5.59)mm Hg,术后上述指标分别为(1.10±0.35)L、(4.69±0.43)L、(3.22±0.32)L、(34.09±6.38)L、(311.50±44.21)m、(75.21±10.29)mm Hg及(38.73±4.36)mm Hg,上述指标差异均具有统计学意义(P<0.05);2根据SGRQ评分标准,手术前后呼吸症状、活动受限、疾病影响以及SGRQ总分分别为(65.72±12.38)分、(53.02±10.11)分、(46.39±8.36)分及(51.20±15.38)分,手术后上述评分分别为(41.03±8.37)分、(37.38±8.32)分、(26.34±5.55)分及(31.38±10.22)分,本组手术前后SGRQ评分差异均具有统计学意义(P<0.05)。结论单操作孔胸腔镜下肺大泡切除术疗效显著,患者肺功能及血气功能改善均较为明显,术后生活质量也比较理想,应在临床中加以推广及应用。
Objective To explore the method and effect of single operation hole thoracoscopic alveolar laparoscopic surgery. Methods 10 cases of pulmonary bullae were treated with single operation hole thoracoscopic alveolar laparoscopic resection. Before and after surgery compared lung function and blood gas analysis results, SGRQ score before and after treatment. Results The preoperative FEV1, TLC, RV, MVV, 6MW, PaO2 and PaCO2 were (0.72 ± 0.17) L, (6.09 ± 0.56) L, (4.12 ± 0.40) L, (19.28 ± 1.37) L, (1.10 ± 0.35) L, (4.69 ± 0.43) L, (3.22 ± 3.00) L, (3.22 ± 5.59) mmHg and (61.90 ± 8.38) mmHg (P <0.05); 2 (P <0.05); 2 (P <0.05); (2) There was no significant difference between the two groups (P> 0.05) According to the SGRQ score, respiratory symptoms, activity limitation, disease influence and SGRQ score were (65.72 ± 12.38), (53.02 ± 10.11), (46.39 ± 8.36) and (51.20 ± 15.38) points respectively before and after surgery, The postoperative scores were (41.03 ± 8.37), (37.38 ± 8.32), (26.34 ± 5.55) and (31.38 ± 10.22) points respectively. There were significant differences in SGRQ scores before and after operation (P <0.05) ). Conclusions Single operation hole thoracoscopic alveolar septoplasty has a significant curative effect. The patients’ pulmonary function and blood gas function improvement are obvious. The postoperative quality of life is also ideal and should be popularized and applied in clinic.