Abstract：Objective: To explore the video-assisted thoracoscopic surgery (video-assisted thoracic, surgery, VATS) under the influence of the two hole type spell bullae of lung resection and VAS score efficacy. Methods: From May 2014 to May 2016, 98 patients with bullous pulmonary bullae were operated under VATS. Under the advice of the physician, the patients were voluntarily divided into the observation group (49 cases) and the control group (49 cases). The patients in the observation group were excised by two - hole method, and the traditional traditional three - hole resection was performed in the control group. The perioperative time, intraoperative blood loss, incision length, extubation time and hospitalization time, pulmonary function, VAS score and VRS score, postoperative complications, recurrence of one year and incidence of one year pneumothorax in two groups were compared. Results: There was no statistical difference in operative time and intraoperative blood loss between the two groups. The length of incision, extubation time and hospitalization time in the observation group were significantly less than those in the control group. The difference of lung function between the two groups before and after treatment was not statistically significant. Before treatment, there was no significant difference in the VAS score and VRS score between the two groups. After treatment, the VAS score and VRS score of the two groups decreased significantly, and the decrease in the observation group was significantly better than that in the control group (P < 0.05). There was no significant difference in the incidence of complications, one year recurrence and the incidence of one year pneumothorax in the two groups ( P > 0.05). Conclusion: The two hole method and three type of spell bullae of lung resection in patients with symptoms under VATS are alleviated effectively the safety, and the two hole spell has less pain, less trauma, postoperative recovery and good characteristics such as fast, and it is worthy of reference.
郝延红, 席俊峰, 李婉宁. 胸腔镜两孔法术式对肺大疱切除的疗效及VAS评分的影响[J]. 河北医学, 2018, 24(1): 65-69.
HAO Yanhong, XI Junfeng, LI Wanning. Effect of Thoracoscopic Two-hole Method on Pulmonary Bulla Resection and the Effect of VAS Score. HeBei Med, 2018, 24(1): 65-69.
2018, Vol. 24 
冀公网安备13080202000677号