无管胸腔镜在肺大疱切除术中的应用效果

doi:10.20047/j.issn1673-7210.2022.35.26

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Abstract Objective To evaluate the advantages and safety of thoracoscopy without tube in the resection of pulmonary bullae. Methods Fifty-one patients in the First Hospital of Tsinghua University from July 2017 to April 2021 planned to undergo the resection of pulmonary bullae due to pneumothorax were selected as the research objects and divided into the thoracoscopy without tube group and thoracoscopy with tracheal intubation group according to their wishes. In the thoracoscopy without tube group, 20 patients underwent the resection of pulmonary bullae by thoracoscopy without tube. In the thoracoscopy with tracheal intubation group, 31 patients underwent the resection of pulmonary bullae by thoracoscopy with tracheal intubation. The duration of anesthesia, operation time, minimum pulse oxygen saturation during the operation, blood loss during the operation, postoperative retention time in the operating room, retention time of drainage tube, postoperative addition of painkillers, postoperative hospital stay, occurrence of cough or pharyngeal discomfort within one month after the operation, and recurrence of pneumothorax within six months after the operation were recorded and compared between the two groups. Results The duration of anesthesia and postoperative retention time in the operating room in the thoracoscopy without tube group were shorter than those in the thoracoscopy with tracheal intubation group, the minimum pulse oxygen saturation during the operation and the occurrence of cough or pharyngeal discomfort within one month after the operation were lower than those in the thoracoscopy with tracheal intubation group, the differences were statistically significant (P＜0.05). There were no significant differences in the retention time of drainage tube, postoperative addition of painkiller, postoperative hospital stay, and recurrence of pneumothorax within six months after the operation between the two groups (P＞0.05). Conclusion Thoracoscopy without tube in the resection of pulmonary bullae can shorten the time of anesthesia and reduce postoperative complications such as cough and pharyngeal discomfort, which is safe and reliable and worthy of further promotion.

Key words： Thoracoscopy without tube Thoracoscopy with tracheal intubation Pneumothorax Pulmonary bullae

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	WEI Shenhai1 TIAN Yulin2 WU Bingqun1 HU Pengcheng1 TIAN Jintao1 SONG Xiaoping1 PAN Shouqiang1

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WEI Shenhai1 TIAN Yulin2 WU Bingqun1 HU Pengcheng1 TIAN Jintao1 SONG Xiaoping1 PAN Shouqiang1. Application effect of thoracoscopy without tube in the resection of pulmonary bullae[J]. 中国医药导报, 2022, 19(35): 116-119.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.35.26 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I35/116

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