河北医科大学学报

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单操作孔电视胸腔镜在肺结核瘤诊治中的应用

  

  1. 1.河北省胸科医院胸外科,河北 石家庄 050041; 2.河北省疾病预防控制中心,河北 石家庄 050020
  • 出版日期:2016-07-25 发布日期:2016-08-11
  • 作者简介:李辉( 1976- ),男,河北藁城人,河北省胸科医院副主任医师,医学硕士,从事胸外科疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题( 20150144 )

Clinical analysis of uniportal video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma

  1. 1.Department of Thoracic Surgery, the Chest Hospital of Hebei Province, Shijiazhuang 050020, China;
    2.Hebei Province Center for Disease Control and Prevention, Shijiazhuang 050020, China
  • Online:2016-07-25 Published:2016-08-11

摘要: [摘要] 目的 探讨单操作孔电视胸腔镜( uniportalvideo-assistedthoracoscopicsurgery , UVATS )手术在肺结
核瘤诊治中的应用价值和效果。方法 将 76 例结核瘤患者随机分为 2 组各 38 例,对照组采用传统开胸方法手术,
观察组采用 UVATS 手术,比较 2 组手术持续时间、术中出血量、术后带管时间及术后并发症发生情况。结果 观
察组手术时间、术中出血量及术后带管时间均少于对照组( P <0.05 );观察组术后无切口脂肪液化感染者,对照组
术后发生脂肪液化感染 6 例( 15.8% ), 2 组差异有统计学意义( P <0.05 ), 2 组胸腔积液发生率差异无统计学意义
( P >0.05 )。结论 UVATS 是一种安全有效的诊断与治疗肺结核瘤的手术方式,且对于所有孤立性肺结节患者均
可提供可靠诊断。

关键词: 结核瘤, 单操作孔胸腔镜, 诊断, 治疗

Abstract: [ Abstract ] Objective To evaluate the application value of uniportal video-assisted
thoracoscopicsurgery ( UVATS ) inthediagnosisandtreatmentofpulmonarytuberculoma.
Methods Seventy-sixpatientswithtuberculomawerechosenastheresearchobject , andwere
randomlyassignedtotwogroups , with38casesineach.The38patients withpulmonary
tuberculoma undergoing UVATS resection and 38 patients with pulmonary tuberculoma
undergoingthoracotomyresection werecomparativelyanalyzed.theobservationgroupusing
singleportthoracoscopysurgery , observationgroup2durationofoperationtime , intraoperative
bleedingvolume , postoperativewithtimeandpostoperativecomplicationsafter.Postoperative
complicationsofpatientswithpleuraleffusionandwoundinfection , etc.Results Therewere
shorterinoperativetimeandlessbloodlossbetweenthetwogroups , andthedurationofdrainage
wassignificantlyshorterinthesingleutilityportVATSsurgerygroupthanthethoracotomy
groupwithstatisticallysignificantdifference ( P <0.05 ) .Conclusion UVATSisasafeand
effectivemethodinthetreatmentanddianosisofpatientswithpulmonarytuberculomas , andit
canalsoprovideareliablediagnosisforallpatientswithsolitarypulmonarynodule.

Key words: tuberculoma , uniportalvideo-assistedthoracoscopicsurgery , diagnosis ;treatment