目的:分析单孔操作电视胸腔镜手术治疗肺部疾病58例的临床效果.方法 :选取我院2013年1月至2018年12月收治的行电视胸腔镜手术治疗肺部疾病患者58例,将其随机分为2组,各29例.对照组术中采取三孔法,观察组术中采取单操作孔法.比较两组手术情况.结果 :在术中出血量 、术后VAS评分 、住院时间上,观察组较对照组均明显较少,且P<0.05;而两组淋巴结清扫数量 、手术时间等对比无明显差异,P>0.05.结论 :单孔操作电视胸腔镜手术治疗肺部疾病的临床效果显著,即可减少患者术中出血量,减轻术后疼痛,缩短住院时间,利于其术后康复,值得应用推广.

Objective To explore the clinical value of thoracoscopic resection of lung tumor. Methods Data of 40 patients with lung tumor resection were retrospectively analyzed. To analyze the effect of thoracoscopic pulmonary mass resection. Results All the 40 patients were cured and dis-charged. The average length of hospitalization time was (23.23 ± 5.34)days,the hospitalization cost was (5.75 ± 2.19)million yuan,the operation time was (87.53 ± 10.59)min,the intraoperative blood loss was (121.95 ± 20.39 )ml,and the complication rate was 5.00%,no recurrence was found. Conclusions Thoracoscopic lung tumor resection is effective in the treatment of pulmonary tumors,it has less intraoperative bleeding and fewer complications,it’s good for patient recovery,and is worthy of application and promotion in clinics.

目的:探讨食管癌患者经右胸上腹食管癌根治术治疗的效果.方法:随机选取某院收治的32例食管癌患者为观察组,给予经右胸上腹食管癌根治术治疗,另选取同期收治的32例食管癌患者为对照组,予左胸入路食管癌根治术,对比分析2组患者治疗效果、手术相关指标及并发症发生情况.结果:观察组患者治疗后总有效率(96.88％)高于对照组(81.25％),差异有统计学意义(P<0.05);观察组患者的术中出血量、手术时间、胸腔引流管留置时间、住院时间均小于对照组,差异有统计学意义(P<0.05);并发症发生率观察组(3.12％)低于对照组(21.87％),2组比较差异有统计学意义(P<0.05).结论:食管癌患者经右胸上腹食管癌根治术治疗效果显著,具有术中出血量少、手术时间缩短、并发症少、利于患者恢复等优点.

Objective To summarize the cardiopulmonary bypass.Methods 27 cases of heart disease patients were taken to surgery,including congenital heart disease in 12 cases,mitral valve disease in 10 cases,myxoma in 3 cases,combined valcular disease in 1 case,ruptured aneurysm of aortic sinus in 1 case.All patients were in an operation under cardiopulmonary bypass.Results All patients were discharged.Conclusion Good surgical skills and good cooperative staff,and a proper protection of the myocardium,is the key to successful operation.

Objective To investigate the method and curative effect of thoracoscopy in the treatment of 35 cases of patients with spontaneous pneumothorax.Methods Select 35 cases of patients with spontaneous pneumothorax who were given thoracoscopic treatment in our hospital from August 2008 to August 2011 as the research object,they were anglicized by the therapeutic effect and complications.Results 35 cases were all cured,there were no changing to thoracotomy,no death cases.The intraoperative bleeding volume was(61.4±16.8)mL,chest tube indwelling time was(48.6±11.5)hour,the use of analgesic time was(2.2±0.7)day,the incidence of complications was 8.6%,hospital stay was(6.3±1.2)day.Conclusion The thoracoscopic treatment in spontaneous pneumothorax was wound small,faster recovery,less complications,and has satisfactory effect.

目的探讨电视胸腔镜手术治疗肺大疱并发气胸的临床应用。方法回顾性分析经电视胸腔镜手术治疗的23例肺大疱自发性气胸患者的临床资料。结果全组病例的患侧肺在术后均复张良好,随访至今无复发,效果良好。结论肺大疱破裂自发性气胸是胸腔镜手术的最佳适应证,胸腔镜手术具有创伤小、疼痛轻、恢复快、效果好、符合美学要求等特点。