[1]徐涑珅,石昌国,张晓伟.单孔胸腔镜下肺大泡切除术治疗肺大泡伴自发性气胸的效果及对肺功能及生活质量的影响[J].医学信息,2022,35(05):108-110.[doi:10.3969/j.issn.1006-1959.2022.05.027]
　XU Su-shen,SHI Chang-guo,ZHANG Xiao-wei.Effect of Single-hole Thoracoscopic Pulmonary Bullosa Resection in the Treatment of Pulmonary Bullae with Spontaneous Pneumothorax and its Effect on Lung Function and Quality of Life[J].Medical Information,2022,35(05):108-110.[doi:10.3969/j.issn.1006-1959.2022.05.027]
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单孔胸腔镜下肺大泡切除术治疗肺大泡伴自发性气胸的效果及对肺功能及生活质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年05期
页码:
108-110
栏目:
论著
出版日期:
2022-03-01

文章信息/Info

Title:
Effect of Single-hole Thoracoscopic Pulmonary Bullosa Resection in the Treatment of Pulmonary Bullae with Spontaneous Pneumothorax and its Effect on Lung Function and Quality of Life
文章编号:
1006-1959（2022）05-0108-03
作者:
徐涑珅; 石昌国; 张晓伟
（佳木斯市肿瘤医院胸外科，黑龙江 佳木斯 154000）
Author(s):
XU Su-shen; SHI Chang-guo; ZHANG Xiao-wei
(Department of Thoracic Surgery,Jiamusi Tumor Hospital,Jiamusi 154000,Heilongjiang,China)
关键词:
肺大泡; 自发性气胸; 胸腔镜肺大泡切除术; 单孔法; 三孔法
Keywords:
Pulmonary bullae; Spontaneous pneumothorax; Thoracoscopic pulmonary bullosa resection; Single-hole approach; Three-hole approach
分类号:
R561.4
DOI:
10.3969/j.issn.1006-1959.2022.05.027
文献标志码:
A
摘要:
目的 探究单孔胸腔镜下肺大泡切除术治疗肺大泡伴自发性气胸（SP）的效果及对肺功能及生活质量的影响。方法 选取2020年2月-2021年2月佳木斯市肿瘤医院胸外科收治的68例肺大泡伴SP患者作为研究对象，采用随机数字表法分为对照组和观察组，各34例。对照组行三孔胸腔镜肺大泡切除术治疗，观察组行单孔胸腔镜肺大泡切除术治疗，比较两组围术期指标、术后疼痛程度、肺功能指标[第1秒用力呼吸容积（FEV1）、肺总量（TLC）及肺残气量（RV）]、术后并发症以及生活质量。结果 两组手术时间比较，差异无统计学意义（P＞0.05）；观察组术中出血量少于对照组，引流管留置时间与术后住院时间短于对照组（P＜0.05）；观察组术后第1、3、7天VAS评分低于对照组（P＜0.05）；两组术后第3天FEV1高于术前，TLC、RV低于术前（P＜0.05），但组间比较，差异无统计学意义（P＞0.05）；观察组并发症发生率为2.94%，低于对照组的17.65%（P＜0.05）；两组术后1个月SGRQ评分低于术前，且观察组低于对照组（P＜0.05）。结论 单孔胸腔镜下肺大泡切除术可有效改善肺大泡伴SP患者的肺功能指标，且出血少、疼痛小、术后恢复快、并发症风险低，有利于改善患者生活质量。
Abstract:
Objective To investigate the effect of single-hole thoracoscopic pulmonary bullosa resection in the treatment of pulmonary bullae with spontaneous pneumothorax (SP) and its effect on lung function and quality of life.Methods A total of 68 patients with pulmonary bullae and SP admitted to the Department of Thoracic Surgery of Jiamusi Cancer Hospital from February 2020 to February 2021 were selected as the study subjects. They were divided into control group and observation group by random number table method, with 34 cases in each group. The control group was treated with three-hole thoracoscopic pulmonary bullosa resection, and the observation group was treated with single-hole thoracoscopic pulmonary bullosa resection. The perioperative indexes, postoperative pain degree, pulmonary function indexes [forced expiratory volume in one second (FEV1), total lung volume (TLC) and pulmonary residual volume (RV)], postoperative complications and quality of life were compared between the two groups.Results There was no significant difference in operation time between the two groups (P>0.05); the intraoperative blood loss in the observation group was less than that in the control group, and the drainage tube indwelling time and postoperative hospital stay were shorter than those in the control group(P<0.05). The VAS scores of the observation group were lower than those of the control group at 1, 3 and 7 days after operation (P<0.05). FEV1 on the third day after operation in the two groups was higher than that before operation, TLC and RV were lower than those before operation(P<0.05); while there was no significant difference between the two groups (P>0.05). The incidence of complications in the observation group was 2.94%, which was lower than 17.65% in the control group (P<0.05). The SGRQ score of the two groups 1 month after operation was lower than that before operation, and the observation group was lower than the control group (P<0.05).Conclusion Single-hole thoracoscopic pulmonary bullosa resection can effectively improve the pulmonary function indexes of patients with pulmonary bullae and SP, with less bleeding, less pain, rapid postoperative recovery and low risk of complications, which is conducive to the improvement of the quality of life of patients.

参考文献/References:

[1]尹彦,李宏芹,彭小乐,等.单孔及三孔法胸腔镜下肺大泡切除术对自发性气胸疗效的对比观察[J].北京医学,2019,41(12):1118-1120.[2]魏周斌,张俣,阿布都萨拉木·阿尤甫,等.单孔与两孔胸腔镜下肺大疱切除手术治疗气胸的效果对比[J].现代生物医学进展,2019,19(22):4316-4319.[3]郑兴,王戈菲,白文杰,等.单孔胸腔镜下肺大泡切除治疗自发性气胸的临床效果[J].实用临床医学,2019,20(9):45-46,52.[4]康珀铭.单孔胸腔镜肺大疱切除术治疗自发性气胸的疗效及中期随访研究[J].基因组学与应用生物学,2019,38(7):3376-3382.[5]彭勇,张广云,江振强,等.胸腔镜肺大泡切除术对气胸患者术后VAS,GQOL-74评分的影响[J].中国急救复苏与灾害医学杂志,2020,15(4):452-455.[6]宋焕,王坤,茹玉航.自发性气胸手术治疗中单孔与双孔胸腔镜肺大泡切除术的应用对比研究[J].解放军预防医学杂志,2019,37(5):189-190.[7]徐青荣,沈江,吴月红,等.胸腔镜肺大泡切除术非气管插管与传统全身麻醉方法比较[J].实用医学杂志,2019,35(3):420-423.[8]张松,李洪林.单孔胸腔镜在肺大泡治疗中的应用价值[J].蚌埠医学院学报,2018,43(9):1151-1153.[9]Huang S,Cao X,Jie L,et al.Analgesic effect of flurbiprofen axetil in treatment of single hole thoracoscopic surgery for pneumothorax[J].Pakistan Journal of Pharmaceutical Sciences,2017,30(5):1875.[10]陈章,廖小清,郑义文.单孔法在胸腔镜肺大泡切除术的临床应用研究[J].实用医院临床杂志,2017,14(3):79-80.[11]沈国义,张奕,黄镇,等.单孔与单操作孔胸腔镜治疗自发性气胸的对比研究[J].中国内镜杂志,2017,23(3):30-33.[12]宋长山,沈柏儒,朱珊,等.单孔胸腔镜下肺大泡切除治疗自发性气胸快速康复的研究[J].临床急诊杂志,2017,18(2):109-111.[13]王毅,谢晓阳.单孔胸腔镜治疗单侧气胸合并对侧肺大泡疗效分析[J].中国胸心血管外科临床杂志,2017,24(2):159-161.[14]刘熙元,豆亚伟,田伟,等.单孔法、两孔法与三孔法胸腔镜肺大疱切除术临床对比分析[J].陕西医学杂志,2017,46(2):175-177.[15]孙建,余觅,唐莉,等.单孔与三孔胸腔镜治疗肺大泡并自发性气胸的临床对比研究[J].现代生物医学进展,2021,21(1):162-165.[16]赵亮,董天剑,翟建宾,等.单孔法和单操作孔法胸腔镜手术治疗自发性气胸并肺大泡的效果比较[J].临床误诊误治,2016,29(11):93-95.[17]Li X,Wang X,Zhang H,et al.Unilateral single-port thoracoscopic surgery for bilateral pneumothorax or pulmonary bullae[J].J Cardiothorac Surg,2019,14(1):71.

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更新日期/Last Update: 1900-01-01