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目的通过分析肺大泡患者临床资料,探讨胸腔镜切除术的临床效果与价值。方法 2012年10月~2013年10月我院共收治了65例肺大泡患者,采用胸腔镜下单操作孔切除术进行治疗,为观察组。选取2010年2月~2011年2月在我院治疗的31例肺大泡患者,为对照组,患者采用胸腔镜下二孔切除术。将两组患者的手术操作时间、康复时间以及并发症发生率进行对比分析。结果通过对两组患者术后长达2~12月的跟踪调查,观察组肺大泡患者术后效果良好,无胸膜腔感染或术后并发症,平均手术时间(40.57±3.26)m in,患者平均住院治疗(6.2±1.4)d出院。而对照组术后出现诸多并发症,如肺水肿、肺不张、胸腔积液、置管引流等,对照组平均手术时间(121.46±12.14)m in,术后住院(14.26±2.1)d出院。两组患者手术及住院时间比较,t=174.826,t=62.071,P<0.05为差异有统计学意义。结论采用胸腔镜下单操作孔切除术治疗肺大泡效果良好,并发症少,且手术创口小,安全,患者术中痛苦少,恢复快,疗效好,在肺大泡的临床治疗中值得广泛推广。
Objective To analyze the clinical data of patients with bullae and discuss the clinical effect and value of thoracoscopic resection. Methods From October 2012 to October 2013, a total of 65 patients with bullae were treated in our hospital. The patients underwent single-port excision of thoracoscope for observation. Thirty-two cases of bullae treated in our hospital from February 2010 to February 2011 were selected as the control group. The patients underwent thoracoscopic two-hole resection. The operation time, rehabilitation time and complication rate of two groups of patients were compared. Results The follow-up investigation of two groups of patients after 2 to 12 months of follow-up was performed. The observation group had good postoperative effect, no pleural cavity infection or postoperative complications, the average operation time was (40.57 ± 3.26) The average hospitalization of patients (6.2 ± 1.4) d discharged. In the control group, many complications such as pulmonary edema, atelectasis, pleural effusion, catheter drainage, etc. were found in the control group. The average operation time (121.46 ± 12.14) m in the control group and hospitalization after the operation (14.26 ± 2.1) days were discharged . The two groups of patients surgery and hospitalization time, t = 174.826, t = 62.071, P <0.05 for the difference was statistically significant. Conclusions The single operation hole thoracoscopic surgery for the treatment of bullae effect is good, less complications, and surgical wounds small, safe, less intraoperative pain, rapid recovery, good effect, in the clinical treatment of pulmonary bulla in a wide range of Promotion.