安徽医科大学学报2016，Vol.51Issue(5)：699-702,4.
单操作孔电视胸腔镜肺大疱切除术的临床应用
Clinical experience and contrasitive analysis of single utility port video-assisted thoracoscopic surgery for pulmonary bullae resection
摘要
Abstract
Objective To study the surgical characteristics, clinical value, and effect of VATS single utility port video-assisted thoracoscopic surgery. Methods We retrospectively analyzed 353 patients. 172 pulmonary bullae patients were treated with three port VATS, and 181 patients received with single utility port VATS. The operation time, blood loss, drainage volume, pain score, post-operative drainage time, hospital stay and recurrence rate be-tween the two groups were compared. Results The procedure was successful in all patients with no patients trans-ferred for open thoracotomy. There was no statistically significant difference in operation time, blood loss or recur-rence rate between the two groups. The drainage volume(t= -3. 520,P=0. 021),pain score(t= -6. 726,P=0. 000),the post-operative drainage time(t = -4. 268,P =0. 000) and hospital stay(t = -3. 899,P =0. 001) were statistically significant. Conclusion The single utility port VATS is safe and feasible in the treatment of pul-monary bullae. Compared with the effects of three port VATS, it has the advantages of less harm, less pain and shorter hospital stay, thus becoming an optional surgical option for patients with pulmonary bullae.关键词
自发性气胸/单操作孔/电视胸腔镜/肺大疱Key words
spontaneous pneumothorax/single utility port/video-assisted thoracoscopic/pulmonary bullae分类
医药卫生引用本文复制引用
李田,梅新宇,解明然,吴显宁,张天赐,马冬春..单操作孔电视胸腔镜肺大疱切除术的临床应用[J].安徽医科大学学报,2016,51(5):699-702,4.基金项目
安徽省卫生计生委中医药科研课题项目(编号:2014zy19) （编号:2014zy19）
