胸腔镜辅助小切口肺叶切除术对患者呼吸肌力影响的研究

摘要

Objective :The aim of this study was to evaluate the VASTS assisted mini invasive thoracotomy lobectomy on the effects of respiratory muscle strength .Methods :50 cases of patients treated with VAM TS and 50 cases treated with traditional thoracotomy were included in this study from Nov 2011 to Nov 2013 in the department of thoracic sur‐gery in Haihe hospital .The breath function ,respiratory muscle strength and quality of life was evaluated before and after treatment between the two groups .Results :The respiratory related index such as FEV1 ,FVC and PEF were sig‐nificant decreased after operation in the two groups(P< 0 .05) .But the above index in VAM TS group were higher than that of control group(P< 0 .05) .The respiratory muscle strength index such as MIP and MEP in VAM TS group were significant higher than in the control group(P < 0 .05) .The quality of live in VAM TS group was better than that of control group(P< 0 .05) .Conclusion :Compared with traditional thoracotomy ,video assisted mini invasive thoracic sur‐gery can improve the post surgery respiratory muscle strength which was recommended for treatment thoracic disease .%目的：探讨胸腔镜辅助小切口（Video assisted mini invasive thoracic surgery ，VAM TS）肺叶切除术对呼吸肌力影响。方法：选择2011年11月－2013年11月入住我院的50例行胸腔镜辅助小切口肺叶切除术（VAM TS）患者作为观察组，另外选择同期我院收治的50例行传统开胸术患者作为对照组。比较两组手术前、后呼吸功能、呼吸肌力及生活质量评分有无差别。结果：两组手术后呼吸功能相关指标（FEV1、FVC 及 PEF）水平均较手术前显著下降，但观察组手术后上述指标水平均显著高于对照组（P＜0．05）；观察组手术后呼吸肌力相关指标（MIP 及 MEP）水平均显著高于对照组（P＜0．05）；观察组手术后生活质量显著优于对照组（P＜0．05）。结论：与传统开胸手术相比，VAM TS对呼吸肌损伤较小，患者术后恢复较快，呼吸肌力改善明显，应加以推广及应用。