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目的:探讨西宁地区电视全胸腔镜肺叶切除临床分析。方法:选取我院自2014年3月—2016年3月,电视胸腔镜下肺叶切除术患者52例,同期随机抽取50例常规开胸肺叶切除患者为对照组,比较两组:1术中出血量、引流管置管时间、术后并发症、术后疼痛程度、住院时间;2比较两组术前、术后肺功能变化,及血气分析变化,并进行统计学分析。结果:1电视胸腔镜下肺叶切除组患者较常规开胸组患者切口长度、术中出血量、术后引流管置管时间、术后疼痛程度、术后并发症及住院时间明显缩短减少(P<0.05);2电视胸腔镜下肺叶切除组术后FVC、FEV1、VC、MVV的减少程度少于常规开胸组(P<0.05)。血气分析示:电视胸腔镜下肺叶切除组术后PaO2、SaO2的上升及PaCO2的下降程度明显大于常规开胸组(P<0.05)。结论:在高海拔地区行电视VSTA下肺叶切除比常规开胸肺叶切除术后疼痛程度、术后并发症及住院时间明显缩短减少,肺功能损伤小,更合适在西宁地区开展此类手术。
Objective: To investigate the clinical analysis of video-assisted thoracoscopic lobectomy in Xining area. Methods: From March 2014 to March 2016 in our hospital, 52 patients underwent video-assisted thoracoscopic lobectomy. Fifty patients with conventional thoracotomy and lobectomy were randomly selected as the control group. Two groups were compared: 1 intraoperative bleeding Drainage time, postoperative complications, degree of postoperative pain, length of hospital stay; 2 preoperative and postoperative lung function changes, and changes in blood gas analysis, and statistical analysis. Results: The length of incision, intraoperative blood loss, postoperative drainage tube insertion time, degree of postoperative pain, postoperative complications and length of hospital stay in patients undergoing VATS lobectomy were significantly shorter than those in patients with conventional thoracotomy (P <0.05) .2 The reduction of FVC, FEV1, VC and MVV in the VATS lobectomy group was less than that in the conventional thoracotomy group (P <0.05). Blood gas analysis showed: after thoracoscopic lobectomy, PaO2, SaO2 rise and PaCO2 decreased significantly more than conventional thoracic group (P <0.05). CONCLUSION: It is more appropriate to perform such surgery in Xining area when lobectomy under high-altitude TV VSTA is more effective than conventional lobectomy in the treatment of thoracotomy and lobectomy. Complications and length of stay are significantly shortened and pulmonary function is reduced.