[1]庄著伦,莫绪明,张玉喜,等. 全胸腔镜手术与传统开胸手术治疗儿童肺隔离症的对比研究[J].临床小儿外科杂志,2019,18(01):34-38.
　Zhuang Zhulun,Mo Xuming,Zhang Yuxi,et al. Clinical efficacy of conventional thoracotomy versus complete thoracoscopy for pulmonary sequestration in children.[J].Journal of Clinical Pediatric Surgery,2019,18(01):34-38.
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 全胸腔镜手术与传统开胸手术治疗儿童肺隔离症的对比研究

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第18卷 期数: 2019年01期 页码: 34-38 栏目: 论著 出版日期: 2019-01-20
Title:
 Clinical efficacy of conventional thoracotomy versus complete thoracoscopy for pulmonary sequestration in children.
作者:
 庄著伦; 莫绪明; 张玉喜; 等
 南京医科大学附属儿童医院心胸外科
Author(s):
 Zhuang Zhulun; Mo Xuming; Zhang Yuxi; Sun Jian; Peng Wei; Qi Jirong; Wu Kaihong; Yu Di; Zhu Yu.
 Affiliated Childrens Hospital,Nanjing Medical University,Nanjing 210008,China.
关键词:
 ; 儿童;  外科手术;  胸腔镜;  支气管隔离症;  治疗
Keywords:
 ; Child;  Surgical Procedures;  Thoracscopes;  Bronchopulmonary Sequestration;  Operative Therapy
文献标志码:
A
摘要:
 目的比较电视胸腔镜手术与传统开胸手术治疗儿童先天性肺隔离症的安全性与有效性，探讨全胸腔镜手术治疗儿童先天性肺隔离症的临床价值。 方法选择2010年5月至2018年1月于南京医科大学附属儿童医院心胸外科接受手术治疗的66例先天性肺隔离症患儿作为研究对象，其中27例采取全胸腔镜手术，为全胸腔镜手术组；39例采取传统开胸手术，为开胸手术组。对比两组手术时间、术中出血量、术后引流量与引流管留置时间以及术后住院时间的差异。结果全胸腔镜手术组中有1例中转开胸手术，无一例手术中死亡，手术后均恢复顺利，无严重并发症发生。全胸腔镜手术组和开胸手术组中位随访时间分别为0.7年、4.1年。全胸腔镜手术组手术时间(80±5.6)min，术中出血(20±9.2)mL，术后住院时间(5.1±2.1)d、术后引流量(50±9.6)mL,术后引流管留置时间(4±1.3)d，均明显优于传统手术组（P＜0.05）。结论与开放手术相比，全胸腔镜下手术治疗儿童先天性肺隔离症具有手术时间短、出血少、恢复快、切口美观等优点，对患儿心肺功能影响小，临床效果基本满意。
Abstract:
ObjectiveTo compare the safety and efficacy of conventional thoracotomy versus complete thoracoscopy for pulmonary sequestration (PS) of children.MethodsRetrospective analysis was performed for the clinical data of 66 children from May 2010 to January 2018.They were divided into two groups of conventional thoracotomy (n=39) and complete thoracoscopy (n=27).Two groups were compared with regards to operative duration,amount of blood loss,volume of postoperative chest drainage,time of chest drainage and postoperative hospital stay.ResultsIn complete thoracoscopy group,one case was converted into open thoracotomy,There was no intraoperative mortality.Recovery was smooth without any serious complication.All cases were cured and discharged postoperatively.The average followup periods of both groups were 0.7 and 4.1 years respectively.The average operative duration was (80±5.6)min,average volume of intraoperative blood loss (20±9.2)ml,average postoperative hospital stay (5.1±2.1) days,average volume of postoperative drainage (50±9.6)ml and average time of chest drainage (4±1.3) days.All values were superior to those of conventional thoracotomy (P<0.05).ConclusionBoth safe and feasible,complete thoracoscopy for pulmonary sequestration is superior to conventional thoracotomy in terms of volume of blood loss,time of chest drainage,postoperative hospital stay,cardiopulmonary function and incision length.

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更新日期/Last Update: 2019-01-22