胸腔镜在肺部手术中临床应用

目的：分析胸腔镜在肺部手术中的临床应用效果。方法以手术方法的不同作为分组依据，方便选取该院于2014年1月—2016年6月胸外科收治的、接受肺部手术患者35例作为此次研究的观察组，该组患者皆进行胸腔镜手术治疗，另选择同期于该院接受肺部手术的患者35例作为对照组，予以传统开胸手术，观察、对比两组患者临床结果。结果在治疗的过程中以及随访过程中，两组患者均未见有死亡例数发生，死亡率之间的差异无统计学意义（P>0.05），另外对两组患者的并发症发生率进行对比，观察组患者并发症发生率5.7%显著要低于对照组42.9%，数据差异有统计学意义（P<0.05）；观察组患者手术时间(123.5±7.6)min、拔管时间(3.8±0.9)d以及住院时间(8.1±2.4)d皆短于对照组，且术中出血量(72.3±4.1)mL少于对照组(149.7±7.8)mL，各项指标之间的差异有统计学意义（P<0.05）。结论胸腔镜应用于肺部手术中具有安全、创伤小、恢复快且术后反应轻等诸多优点。

Clinical Application of Video Assisted Thoracic Surgery in Patients with Pulmonary Surgery

Objective To analyze the clinical effect of thoracoscopy in pulmonary surgery. Methods Convenient selection with different method of surgery group as the basis,in our hospital since January 2014 were admitted to Department of tho-racic surgery, receiving lung surgery patients 35 cases as the observation group in this study, the group underwent thoraco-scopic surgery, the other underwent lung surgery in 35 patients with as the control group in our hospital, treated by tradi-tional open chest surgery, observation and clinical outcomes were compared between two groups. Results In the process of treatment and follow-up, two patients were no death cases occurred, the difference in mortality between the comparison was not statistically significant (P> 0.05), in addition to the two groups of patients the incidence of complications were com-pared, the complication rate of observation group5.7% was significantly lower than that in the control group42.9%, the dif-ference of the visible data comparison was statistically significant (P< 0.05); the observation group of patients with opera-tion time(123.5±7.6)min, extubation time to(3.8±0.9)d And hospitalization time(8.1±2.4)d is shorter than the control group, and intraoperative bleeding volume(72.3±4.1)mL less than that of the control group(149.7±7.8)mL, comparing the differences between the index has statistical significance (P< 0.05). Conclusion The use of thoracoscope in lung surgery is a safe, less trauma, restore fast and mild postoperative reaction and many other advantages.