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目的探讨经电视胸腔镜手术切除肺大疱的临床医治特点和手术效果。方法 40例肺大疱患者作为研究对象,随机分为观察组与参照组,各20例。观察组行胸腔镜肺大疱切除术治疗,参照组行剖胸手术治疗,对比两组手术疗效差异。结果 40例肺大疱患者均无死亡。观察组平均手术时间(1.6±0.8)h、平均住院时间(5.5±2.3)d、平均术中出血量(80.6±20.8)ml、并发症发生率10.0%,参照组平均手术时间(2.7±0.9)h、平均住院时间(7.6±2.4)d、平均术中出血量(182.6±80.8)ml、并发症发生率25.0%,观察组术后并发症发生率、手术时间、住院时间、术中出血量显著优于参照组,差异具有统计学意义(P<0.05)。结论对肺大疱患者采用胸腔镜医治可缩短住院时间、减少出血量,该术式具有较高应用价值。
Objective To investigate the clinical features and surgical results of the removal of bullae by video-assisted thoracoscopic surgery. Methods 40 patients with pulmonary bullae were randomly divided into observation group and reference group, with 20 cases in each group. The observation group underwent thoracoscopic lobectomy, and the reference group underwent thoracotomy. The curative effect was compared between the two groups. Results 40 cases of lung bullae patients did not die. The mean operation time was (1.6 ± 0.8) h in the observation group, the average length of hospital stay was (5.5 ± 2.3) days, the average blood loss in operation was (80.6 ± 20.8) ml, the complication rate was 10.0% and the average operation time in the reference group was 2.7 ± 0.9 ) h, mean length of stay (7.6 ± 2.4) d, mean operative blood loss (182.6 ± 80.8) ml and complication rate of 25.0%. The incidence of postoperative complications, operation time, hospital stay, intraoperative bleeding The difference was statistically significant (P <0.05). Conclusions The use of thoracoscopic treatment of patients with pulmonary bullae can shorten the length of hospital stay and reduce the amount of bleeding. This technique has high application value.