胸腔镜肺叶切除术的临床效果观察(附374例报告)

被引：6

作者：

杨博

戴为民

初向阳

孙玉鹗

王钰琦

汪涛

刘阳

赵明

机构：

[1] 解放军总医院胸外科

来源：

解放军医学杂志 | 2013年 / 05期

关键词：

胸外科手术,电视辅助; 肺叶切除术; 治疗结果;

D O I：

暂无

中图分类号：

R655.3 [支气管和肺];

学科分类号：

1002 ; 100210 ;

摘要：

目的探讨胸腔镜下肺叶切除术的安全性及可行性。方法回顾性分析2007年5月-2012年5月在解放军总医院胸外科行胸腔镜下肺叶切除术的374例患者的临床资料。结果 374例患者包括恶性肿瘤304例,良性病变47例,不典型腺瘤样增生18例,出血1例,另有4例患者胸部CT表现为磨玻璃样小结节,术后病理未能检出病变。手术方式包括右肺上叶切除81例,右肺中叶切除40例,右肺下叶切除73例,左肺上叶切除64例,左肺下叶切除89例,复合肺叶切除27例。手术时间158.4±33.5min,术中出血量136.3±55.3ml,19例患者接受输血。术后47例患者出现并发症,3例患者死亡。术后拔管时间4.3±1.9d,术后住院时间7.5±2.9d。结论胸腔镜肺叶切除术是一种安全、有效的手术方式,适用于多种肺部疾病的外科治疗。

引用

页码：387 / 390

页数：4

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