电视胸腔镜肺叶切除手术护理配合及效果分析

目的比较电视胸腔镜肺叶切除手术与传统开放肺叶切除手术的效果,探讨电视胸腔镜肺叶切除手术最佳护理配合方法,进一步提高护理质量。方法对安徽省胸科医院胸外科2011年5月至2012年5月肺叶切除手术患者的手术效果及护理配合方法进行分析。其中胸腔镜手术47例为试验组,传统开放手术50例为对照组;比较两组手术护理情况及效果。结果试验组手术时间、术中出血量、术后住院总天数及患者满意度等方面明显优于对照组。结论电视胸腔镜肺叶切除术具有创伤小、痛苦少、恢复快、疗效好及切口符合美容要求等优点,对提高护理工作效率和质量提出了新要求。充分的术前准备,熟练的手术配合是保证手术顺利完成的重要因素。

Effect of video-assisted thoracoscope surgery and the nursing method

Objective To compare effect of video-assisted thoracoscope lobectomy with that of traditional open surgery operation and to explore intraoperative nursing methods in video-assisted thoracoscopy in order to improve the quality of nursing.Methods Clinical data of hospitalized patients who had undergone the treatment of thoracic surgery of lobectomy from May 2011 to May 2012 were retrospectively analyzed.The nursing methods and operation effect of 47 cases in VATS group and 50 cases in traditional open surgery group were compared.Results The operative time,perioperative bleeding and postoperative indwelling catheter time,the tube placed time,postoperative hospitalization and total factors in VATS group of were better than those of the traditional treatment group.Conclusion The video-assisted thoracoscope surgery has advantages of smaller trauma,lighter pain,rapid recovery,and good curative effect,which is safer and more reliable,meeting the beauty incision requirements.It has great significance in improve the efficiency and quality of nursing work.Sufficient preoperative preparation,strict and skillful operation are important factor in guaranteeing the smooth finish of the operation.