全胸腔镜下肺叶切除术在肺部疾病治疗中应用.docVIP

全胸腔镜下肺叶切除术在肺部疾病治疗中应用 　　【摘要】 目的：探究全胸腔镜下肺叶切除术在肺部疾病治疗中的应用。方法：选取本院在2012年2月-2014年2月收治的58例进行肺部手术的患者作为研究对象，将其按照入院顺序平均分为观察组和对照组两组，每组各29例。观察组采用全胸腔镜下肺叶切除术，对照组采用传统切除术，比较与分析两组患者临床疗效及预后情况。结果：观察组患者的显效率、有效率、无效率及总有效率分别为75.86%、10.34%、13.80%和86.20%，与对照组的48.28%、13.79%、37.93%和62.07%相对比具有显著优势，差异有统计学意义（P0.05）；观察组患者的手术时间、术中出血量及住院时间分别为（120±40）min、（155±60）mL、（7±2）d，与对照组的（180±45）min、（190±70）mL、（9±3）d对比具有显著优势，差异具有统计学意义（P0.05）。结论：全胸腔镜下肺叶切除术对于肺部疾病的治疗具有恢复快、出血量少、创伤小、操作简单等优势，值得临床推广应用。 　　【关键词】 全胸腔镜下； 肺叶切除术； 肺部疾病 　　【Abstract】 Objective： To explore the application of full thoracoscopic lobectomy in the treatment of lung diseases. Method： 58 cases of patients with lung surgery were selected who were admitted in our hospital from February 2012 to February 2014 as a research object， which were divided into observation group and control group in accordance with the order of admission，29 cases in each group.The observation group with full chest endoscopic lobectomy，and the control group used conventional resection， comparison and analysis of clinical efficacy and prognosis of two groups patients. Result： The observation group of markedly effective，efficient，inefficiency and total effective rate were respectively 75.86%，10.34%，13.80% and 86.20%，compared with the control group of 48.28%，13.79%， 37.93% and 62.07%， the differences were statistically significant（P0.05）； observation group of operative time， blood loss and hospital stay were respectively （120±40）min，（155±60）mL，（7±2）d，compared with the control group（180±45）min，（190±70）mL，（9±3）d，the differences were statistically significant（P0.05）. Conclusion： Full thoracoscopic lobectomy for the treatment of lung diseases has faster recovery， less bleeding， less trauma， simple operation and other advantages， it is worthy of clinical application. 　　【Key words】 Full thoracoscopic； Lobectomy； Lung disease 　　First-author’s address：Xinjiang Chest Hospital，Urumqi 830000，China 　　doi：10.3969/j.issn.1674-4985.2015.01.016 　　对于早期肺癌患者，行肺叶切除术是较为有效的手术治疗方法。全胸腔镜下肺叶切除术是在