中国防痨杂志2017，Vol.39Issue(9)：950-953,4.DOI:10.3969/j.issn.1000-6621.2017.09.008
单孔胸腔镜技术在肺结核手术肺叶切除术中的应用(附46例分析)
Application of uniportal thoracoscopic lobectomy in surgical treatment of pulmonary tuberculosis (Attached the reports of 46 cases)
摘要
Abstract
Objective To investigate the value of single-incision thoracoscopic lobectomy applying in treatment of patients with pulmonary tuberculosis (PTB). Methods Forty-six patients who received uniportal thoracoscopic lobectomy treatment in the Chest Hospital of Xinjiang Uyghur Autonomous Region between January 2014 and January 2017 were selected.Among them, 28 (60.9%) patients received standardized treatment regimens of anti-tuberculosis drugs and presented failure, 8 (17.4%) patients got hemoptysis and received emergency operation, and 10 (21.7%) patients were suspected to be lung cancer. Results All the 46 patients received different kinds of operation under a single-incision thoracoscope, including lobectomy in 44 patients and segmentectomy in 2 patients.Three patients were transferred to thoracotomy.All patients were pathologically diagnosed as tuberculosis.The average blood loss was (242.6±219.1) ml (20-1000 ml);the average operation time was (157.8±59.8) min (60-300 min);the average postoperative intubation time was (3.6±1.4) days (2-8 days);the average postoperative duration of hospitalization was (15.7±5.5) days (7-31 dats).All patients got satisfied treatment outcomes without serious complications and without death. ConclusionThe techniques for single-incision thoracoscopic lobectomy is safe and feasible in treatment of patients with PTB if the key technical essentials of this technique are mastered and it is used to those patients who are eligible for the surgical indications.关键词
结核,肺/胸外科手术,电视辅助/外科手术,微创性/肺叶切除术Key words
Tuberculosis,pulmonary/Thoracic surgery,video-assisted/Surgical procedures,minimally invasive/Lobectomy引用本文复制引用
车勇,常炜,刘志刚,唐文,王盛..单孔胸腔镜技术在肺结核手术肺叶切除术中的应用(附46例分析)[J].中国防痨杂志,2017,39(9):950-953,4.基金项目
国家卫生计生委医药卫生科技发展研究中心项目(W2014RQ21) （W2014RQ21）
