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张杰, 袁淼, 徐畅等. koko体育app 胸腔镜精准肺叶切除术128例报道[J]. koko体育app 学报（医学版）, 2018, 49(3): 474-477.
引用本文: 张杰, 袁淼, 徐畅等. koko体育app 胸腔镜会员精准营销肺叶切除术术128例曝光[J]. 陕西二本大学学报（分子生物学版）, 2018, 49(3): 474-477.
ZHANG Jie, YUAN Miao, XU Chang. et al. Clinical Report of 128 Cases of Meticulous Thoracoscopic Lobectomy in Children[J]. Journal of Sichuan University (Medical Sciences), 2018, 49(3): 474-477.
Citation: ZHANG Jie, YUAN Miao, XU Chang. et al. Clinical Report of 128 Cases of Meticulous Thoracoscopic Lobectomy in Children[J]. Journal of Sichuan University (Medical Sciences), 2018, 49(3): 474-477.

koko体育app 胸腔镜精准肺叶切除术128例报道

Clinical Report of 128 Cases of Meticulous Thoracoscopic Lobectomy in Children

  • 摘要: 目的 探讨koko体育app 肺部病灶行胸腔镜精准肺叶切除的可行性及效果。方法 回顾性分析2013年10月至2017年3月于koko体育app 华西医院接受胸腔镜精准肺叶切除的koko体育app 患者的临床资料。结果 本组共128例患儿，其中男69例，女59例；术前诊断为先天性肺囊肿62例，囊性腺瘤样畸形47例，隔离肺17例，肺部肿瘤2例；病灶位于肺上叶28例，下叶98例，中叶2例。术中均对肺叶动静脉、支气管及叶间裂组织进行精准处理。除 1例因反复感染胸腔粘连严重而转开放外，其余患儿均在腔镜下顺利完成手术，术中出血3～5 mL，手术时间35～120 min，平均55 min。34例近期手术患儿术毕未安置胸腔闭式引流管，其余患儿均在术后24 h内拔除胸腔闭式引流管，无肺不张、出血、支气管胸膜瘘、肺部感染等并发症发生，术后3～4 d出院。术后随访6～36月，所有病例均恢复良好，无复发病例。结论 胸腔镜精准肺叶切除在koko体育app 病例中有较好的可行性，且通过对各主要结构的精准处理，能有效避免各类常见术后并发症的发生，加快患儿恢复，缩短住院时间，值得推广应用。  
    Abstract: ObjectiveTo investigate the feasibility and effect of precise thoracoscopic lobectomy in children. Methods The clinical data of precise thoracoscopic lobectomy in infants and children were analyzed retrospectively in West China Hospital of Sichuan University. Results There were total 128 cases (male 69, female 59) of precise thoracoscopic lobectomy in infants and children from Oct, 2013 to March, 2017, which including 62 cases of congenital cyst of lungs, 47 cases of cystic adenomatoid malformations, 17 cases of pulmonary sequestrations, and 2 cases of lung tumors. The lesions cvere located in upper lobe of lung in 28 cases, lower lobe in 98 cases and middle lobe in 2 cases. Intraoperative pulmonary arteriovenous, bronchial and interlobar fissure tissues were precisely treated. One case was converted to open surgery because of the thoracic adhesions due to repeated infection, the remaining cases were successfully completed under the endoscopic procedure. Intraoperative bleeding was 3-5 mL, operation time was 35-120 min, mean 55 min. The closed thoracic drainage tubes were removed within 24 h postoperatively; No atelectasis, bleeding, bronchial pleural fistula, pulmonary infection and other complications occurred. The post-operative hospital day ranged 3-4 d. During the follow-up for 6-36 months, all cases were recovered well, and no recurrence occurred. Conclusion Meticulous thoracoscopic lobectomy is feasible in children, and it is effective in avoiding common postoperative complications, accelerating the recovery and shortening the hospitalization time.  
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