肺韧带处理方式对单侧右部肺癌行胸腔镜下右肺上叶切除术患者余肺代偿性膨胀的影响

朱喜明; 谢念林; 党海舟

doi:10.7619/jcmp.201912009

肺韧带处理方式对单侧右部肺癌行胸腔镜下右肺上叶切除术患者余肺代偿性膨胀的影响

Effect of pulmonary ligament processing methods on the compensatory expansion of residual lung in patients with unilateral right lung cancer treated by thoracoscopic resection of superior lobe of right lung

摘要

摘要:
目的探讨肺韧带的处理方法对胸腔镜下行右肺上叶切除术的肺癌患者的术后余肺代偿性膨胀情况的影响。
方法选取肺癌行胸腔镜下右肺上叶切除术的患者98例，随机分为2组。观察组患者术中松解下肺韧带，对照组患者则不松解。比较2组患者术后病理检查结果、手术时间与术后恢复情况、余肺膨胀情况。
结果 2组患者手术时间、术后引流量、引流时间与平均住院时间比较，差异无统计学意义(P>0.05)。观察组患者术后7 d内余肺膨胀情况优于对照组。
结论胸腔镜下行右肺上叶切除的肺癌患者在手术中松解下肺韧带对术后余肺代偿性膨胀有积极影响。

Abstract:
Objective To investigate the effect of pulmonary ligament processing methods on the compensatory expansion of residual lung in patients with unilateral right lung cancer treated by thoracoscopic resection of superior lobe of right lung.
Methods Totally 98 patients with unilateral right lung cancer treated by thoracoscopic resection of superior lobe of right lung were randomly divided into two groups. The observation group was treated with the release of inferior pulmonary ligament during operation, while the inferior pulmonary ligament was not performed in control group. The results of pathological examination, operation time, recovery and pulmonary dilatation after operation were compared between the two groups.
Results There were no significant differences in operation time, drainage volume, drainage time and average hospitalization time between the two groups (P < 0.05). The compensatory expansion of residual lung within 7 days after operation in observation group was better than that in control group.
Conclusion For patients treated by thoracoscopic resection of superior lobe of right lung, loosening the lower pulmonary ligament during operation has a positive effect on compensatory expansion of the residual lung after operation.

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