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中华肺部疾病杂志(电子版) ›› 2022, Vol. 15 ›› Issue (06) : 890 -892. doi: 10.3877/cma.j.issn.1674-6902.2022.06.035

短篇论著

剑突下与肋间单孔充气胸腔镜手术治疗双侧肺大泡的临床分析
曾涛1, 王波1, 任王胜1, 王大春1, 吴先余1   
  1. 1. 621000 绵阳,四川绵阳四四医院胸外科
  • 收稿日期:2022-03-16 出版日期:2022-12-25

Clinical analysis of subxiphoid and intercostal single hole thoracoscopic treatment of bilateral pulmonary bulicles

Tao Zeng1, Bo Wang1, Wangsheng Ren1   

  • Received:2022-03-16 Published:2022-12-25
引用本文:

曾涛, 王波, 任王胜, 王大春, 吴先余. 剑突下与肋间单孔充气胸腔镜手术治疗双侧肺大泡的临床分析[J]. 中华肺部疾病杂志(电子版), 2022, 15(06): 890-892.

Tao Zeng, Bo Wang, Wangsheng Ren. Clinical analysis of subxiphoid and intercostal single hole thoracoscopic treatment of bilateral pulmonary bulicles[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2022, 15(06): 890-892.

肺大泡病灶一旦破裂,将引起自发性气胸、血胸等不良事件[1]。电视辅助胸腔镜手术(VATS)与传统开胸手术相比优势明显[2,3]。目前胸腔镜手术仍需要从肋间切口进入胸腔,易刺激或损伤肋间神经,影响术后恢复[4]。经剑突下入路胸腔镜手术不经过肋间操作,避免损伤肋间神经。经剑突下单孔胸腔镜治疗双肺良性结节、手汗症效果优于经肋间入路[5,6,7]。经剑突下单孔胸腔镜下单侧肺大泡切除术效果优于经肋间入路,但分期手术创伤较大[8]。经剑突下入路胸腔镜下能经同一切口进行双侧胸腔操作,是治疗双侧肺大泡的新思路。本文对我院收治的62例双侧肺大泡患者进行分析,报道如下。

表1 两组基线资料情况
表2 两组患者手术情况对比
图1 A两组术后不同时间点活动状态疼痛情况;B两组术后不同时间点静息状态疼痛情况
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