摘要
目的对比研究胸腔镜与开胸肺叶切除术对患者术后感染的影响,以降低患者术后感染率。方法选择2012年1月-2013年12月行肺叶切除手术的118例患者为研究对象,其中58例施行胸腔镜下肺叶切除(胸腔镜组),60例进行传统开胸肺叶切除(开胸组),两组患者均给予头孢西丁预防感染,若出现感染,给予静脉滴注亚胺培南/西司他丁治疗,对比观察两组患者的手术时间、术中出血量、术后引流量、引流管留置时间、术后疼痛时间、术后住院时间以及术后感染率。结果胸腔镜组患者的术中出血量、术后引流量、术后疼痛时间、术后住院时间均少于开胸组,差异有统计学意义(P<0.05),胸腔镜组发生切口感染及肺部感染各1例,感染率3.44%,开胸组发生切口感染4例、肺部感染6例,感染率为16.67%,胸腔镜组患者感染率明显低于对照组,差异有统计学意义(P<0.05)。结论胸腔镜手术在肺部疾病的治疗中,临床效果确切,具有手术切口小、创伤小、恢复快、术后感染率低等优点。
OBJECTIVE To compare the effect of the lobectomy with thoracoscope and thoracotomy on postoperative infection ,so as to reduce the incidence of postoperative infection .METHODS Totally 118 cases of patients who had undergone lobectomy from Jan .2012 to Dec .2013 were selected as objects .Among them ,58 cases implemen-ted lobectomy under thoracoscope （thoracoscope group） ,60 cases implemented traditional thoracotomy lobectomy （thoracotomy group） .The two groups of patients were given Cefoxitin to prevent infection ,if infection occurred , Imipenem and Cilastatin would be given intravenously .The operative time ,blood loss ,postoperative drainage , drainage tube indwelling time ,postoperative pain ,postoperative hospital stay and postoperative infection were compared and observed .RESULTS The full amount of bleeding ,postoperative drainage ,postoperative pain ,and postoperative hospital stay in thoracoscope group were less than thoracotomy group ,the differences were signifi-cantly significant （P〈 0 .05） .The thoracoscope group had one case with incision infection and one case of pulmo-nary infection ,with the infection rate of 3 .44% .And the thoracotomy group had 4 cases with incision infection ,6 cases of lung infection ,with the infection rate of 16 .67% .The incidence of infection in thoracoscope group was significantly lower than in the control group .The difference was statistically significant （P〈 0 .05） .CONCLUSION The thoracoscopic surgery has clear clinical effect of tiny incision , little trauma , quick recovery and low postoperative infection rate in the treatment of lung disease .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第6期1360-1361,1364,共3页
Chinese Journal of Nosocomiology
基金
安徽高校自然科学研究基金资助项目(KJ2012B106)
关键词
胸腔镜
肺叶切除术
术后感染
研究
Thoracoscope
Lobectomy
Postoperative infection
Study
