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目的对比分析三种胸腔镜下肺叶切除术的手术方法及结果。方法 150例行胸腔镜下肺叶切除术患者,根据手术方法不同分为A组(单操作孔肺叶切除术)、B组(全胸腔镜肺叶切除术)和C组(胸腔镜辅助肺叶切除术),每组50例。观察对比三组临床指标(术中出血量、术后拔管时间、住院时间)及中转开胸情况。结果三组患者的术中出血量、术后拔管时间和住院时间比较差异无统计学意义(P>0.05)。A组中转开胸患者9例,中转开胸率为18%(9/50);B组中转开胸患者11例,中转开胸率为22%(11/50);C组中转开胸患者10例,中转开胸率为20%(10/50),组间对比差异无统计学意义(χ~2=0.250,P>0.05)。结论单操作孔肺叶切除术、全胸腔镜肺叶切除术、胸腔镜辅助肺切除术三种胸腔镜下肺叶切除术治疗效果无明显差异,可根据患者实际病情及术者手术熟练程度选择手术方法。
Objective To compare and analyze the surgical methods and results of thoracoscopic lobectomy. Methods One hundred and fifty patients undergoing thoracoscopic lobectomy were divided into two groups: group A (single hole lobectomy), group B (thoracoscopic lobectomy) and group C (thoracoscopic accessory lobectomy) , 50 cases in each group. Three groups were observed and compared clinical indicators (intraoperative blood loss, postoperative extubation time, hospital stay) and transit thoracotomy. Results There was no significant difference in the amount of intraoperative blood loss, extubation time and hospital stay among the three groups (P> 0.05). A group of transfer thoracotomy in 9 cases, transfer thoracotomy rate was 18% (9/50); B group transfer thoracotomy in 11 cases, transfer thoracotomy rate was 22% (11/50); C group transfer thoracotomy The rate of thoracotomy was 20% (10/50) in the 10 cases. There was no significant difference between the two groups (χ ~ 2 = 0.250, P> 0.05). Conclusions There is no significant difference between the three operations of lobectomy for thoracoscopic lobectomy, thoracoscopic lobectomy and thoracoscopic assisted pneumonectomy. According to the actual condition of the patients and surgical skill, the operation method can be selected.