|
|
|
| Effect of Thoracoscopic Two-hole Method on Pulmonary Bulla Resection and the Effect of VAS Score |
| HAO Yanhong, XI Junfeng, LI Wanning |
| The First Hospital of Yulin,Shaanxi Yulin 718000, China |
|
|
|
|
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.
|
|
|
|
|
|
[1] 王瑞玲.胸腔镜手术分别使用支气管封堵器及导管进行辅助的临床效果对比[J].临床肺科杂志,2017,22(7):1305~1307.
[2] 杨列,郑轶峰,姜建青,等.静脉自控镇痛在单操作孔胸腔镜下肺外周病变切除术后止痛的效果研究[J].四川医学,2013,34(3):307~309.
[3] 陈治富,康金录.支气管封堵器用于胸腔镜肺大疱切除术中的有效性和安全性研究[J].国际麻醉学与复苏杂志,2016,37(11):973~976.
[4] 张志锋,蔡南,李志敏,等.同期经剑突下单孔胸腔镜双侧肺大疱手术疗效分析[J].临床与病理杂志,2016,36(10):1569~1573.
[5] 张恒,赵松.单孔胸腔镜下应用切割缝合器与缝扎术治疗自发性气胸效果比较[J].中华实验外科杂志,2015,32(2):411~413.
[6] 滕洪,王述民,曲家骐,等.自发性气胸肺大疱分型及胸腔镜手术方法探讨[J].中国微创外科杂志,2013,13(7):584~587.
[7] 姚达,龚立宏,万延辉,等.胸腔镜下肺大疱切除与缝扎术在治疗老年自发性气胸中的应用及疗效[J].中国临床研究,2015,28(5):603~605.
[8] 徐航,黄莉莉,王欣,等.盐酸丙帕他莫在腔镜肺大疱切除术后镇痛中的应用[J].中国药师,2012,15(7):1005~1006.
[9] 宋超,韩孔启,宫心明,等.胸腔镜下单孔、双孔及三孔操作切除肺大疱手术疗效比较[J].湖南师范大学学报(医学版),2017,14(2):170~173.
[10] 张青海,黄莉莉,王欣,等.盐酸丙帕他莫用于胸腔镜下肺大疱切除术后镇痛的疗效观察[J].实用临床医药杂志,2012,16(17):119~120.
[11] 王君,赵玉才,马春平,等.电视胸腔镜双侧肺减容术治疗慢性阻塞性肺气肿效果观察[J].山东医药,2013,53(16):35~36.
[12] 张金伟,张逊,卢喜科,等.胸腔镜肺大疱切除术中不同胸膜固定术的对比研究[J].天津医药,2013,41(4):374~375. |
|
|
|
2018, Vol. 24 
