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目的:探讨胸膜腔闭锁患者行全胸腔镜肺叶切除术的临床价值。方法:采用随机平行对照法将鹤壁市人民医院收治的81例胸膜腔闭锁的患者进行分组,对照组40例患者采用常规开放手术治疗,观察组41例患者采用全胸腔镜肺叶切除术。比较两组患者治疗后临床疗效及并发症发生的情况。结果:观察组治疗后临床总有效率95.12%明显高于对照组80.00%,两组比较,差异具有统计学意义(P<0.05);两组手术时间、住院时间比较,差异均无统计学意义(P>0.05);观察组术中出血量、术后胸腔引流时间均小于对照组,差异具有统计学意义(P<0.05);观察组治疗后并发症的总发生率4.88%明显低于对照组20.00%,差异具有统计学意义(P<0.05)。结论:胸膜腔闭锁患者行全胸腔镜肺叶切除术能够减少术中出血量及术后胸腔引流时间,改善患者的预后,提高了临床总有效率,降低了术后并发症的总发生率。
Objective: To investigate the clinical value of total thoracoscopic lobectomy in patients with pleural cavity atresia. Methods: 81 cases of pleural cavity atresia treated by Hebi Municipal People’s Hospital were divided into two groups according to randomized parallel control. Forty patients in control group were treated by conventional open surgery. Thoracoscopic lobectomy was performed in 41 cases in observation group. The clinical efficacy and complications of the two groups were compared after treatment. Results: The total clinical effective rate in observation group was 95.12%, which was significantly higher than that in control group (80.00%). There was significant difference between the two groups (P <0.05). There was no significant difference between the two groups in operation time and hospitalization time (P> 0.05). The bleeding volume in the observation group and the time of postoperative chest drainage were less than those in the control group (P <0.05). The total incidence of complications in the observation group was significantly lower than that of the control Group 20.00%, the difference was statistically significant (P <0.05). Conclusions: Thoracoscopic lobectomy in patients with pleural cavity atresia can reduce intraoperative blood loss and postoperative chest drainage time, improve the prognosis of patients, improve the total effective rate and reduce the overall incidence of postoperative complications.