慢性阻塞性肺疾病患者肺功能对单孔胸腔镜肺手术安全性的影响

高可飞; 许洪磊; 张永

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武警医学 ›› 2021, Vol. 32 ›› Issue (10) : 847-851.

论著

慢性阻塞性肺疾病患者肺功能对单孔胸腔镜肺手术安全性的影响

高可飞¹, 许洪磊², 张永³

作者信息 +

Effect of pulmonary function on the safety of single-hole thoracoscopic pulmonary surgery in patients with moderate to severe chronic obstructive pulmonary disease

GAO Kefei¹, XU Honglei², ZHANG Yong³

Author information +

文章历史 +

摘要

目的探讨慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肺功能对单孔胸腔镜肺部手术相关指标的影响,并评估中重度COPD应用单孔胸腔镜进行肺手术的安全性。方法回顾性分析上海市肺科医院胸外科2020年1-9月1030例COPD患者行单孔胸腔镜的临床资料。根据慢性阻塞性肺疾病全球倡议解读(GOLD)分级标准将肺功能分为轻度、中重度两组,比较不同程度下患者术中失血量(intraoperative blood loss,IBL)、麻醉时间(anesthesia time,AT)、手术时间(operation time,OT)及术后并发症(postoperative complications,PC)、术后住院天数(postoperative hospital stay days,POD)。结果所有患者均成功完成手术,安全出院。轻度组与中重度组在术中IBL、AT、OT、POD、PC等指标上差异无统计学意义(P＞0.05)。轻度组与中重度组患者术后并发症的差异无统计学意义。结论中重度COPD患者较轻度COPD患者术中、术后相关指标改变不明显,应用单孔胸腔镜行肺部手术是安全、可行的。

Abstract

Objective To investigate the influence of pulmonary function on the related indexes of single port thoracoscopic lung surgery in patients with chronic obstructive pulmonary disease (COPD), and to evaluate the safety of this surgery for patients with moderate to severe COPD. Methods The clinical data on 1030 patients with COPD who underwent single port thoracoscopy between January and September in 2020 was retrospectively analyzed. According to the GOLD grading standard(Interpretation of the Global Initiative on Chronic Obstructive Pulmonary Disease), the pulmonary function of these patients was divided into the mild group and the moderate and severe group. The intraoperative blood loss (IBL), duration of anesthesia(DA), duration of surgery (DS) postoperative complications (PC) and length of postoperative hospital stay(LPHS)were compared between the two groups. Results Surgery was successful in all the patients who were discharged healthy. There was no significant difference in IBL, DA, DS, LPHS or PC between the two groups (P>0.05). Conclusions There are no significant differences in intraoperative and postoperative indexes between the mild group and the moderate/severe COPD group. Therefore, single port thoracoscope is safe and feasible for lung surgery.

导出引用

高可飞, 许洪磊, 张永. 慢性阻塞性肺疾病患者肺功能对单孔胸腔镜肺手术安全性的影响[J]. 武警医学. 2021, 32(10): 847-851

GAO Kefei, XU Honglei, ZHANG Yong. Effect of pulmonary function on the safety of single-hole thoracoscopic pulmonary surgery in patients with moderate to severe chronic obstructive pulmonary disease[J]. Medical Journal of the Chinese People Armed Police Forces. 2021, 32(10): 847-851

中图分类号： R722.12

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