Effect of thoracoscopic surgery with different approaches on bilateral bulla on pain and recovery of lung function
Objective:To investigate the effects of thoracoscopic surgery with different approaches on bilateral bulla on pain and recovery of lung function.Methods:The clinical data of 62 patients with bilateral pulmonary bulla admitted to our hospital from October 2019 to October 2022 were retrospectively analyzed,and they were divided into group A(31 cases)and group B(31 cases)according to different surgical approaches.Group A was treated by intercostal approach,and group B was treated by subxiphoid approach.Bleeding conditions,operation conditions,visual analogue pain scale(VAS)scores,serological indicators,pulmonary function indicators and complications were compared between the two groups.Results:The intraoperative blood loss and the total amount of blood loss in group B were less than those in group A,and the operation time,drainage tube retention time and hospital stay were shorter than those in group A(P<0.05).VAS scores in both groups showed gradual downward trend from 6 h to 3 d after surgery,and those in group B were lower than those in group A at all time points(P<0.05).Compared with before surgery,the serum C-reactive protein(CRP),interleukin-6(IL-6)and Creatine Kinase(CK)in both groups showed a trend of first increase and then decrease from 1 to 3 days after surgery.The above indexes in group B were lower than those in group A at all time points(all P<0.05).One month after surgery,the pulmonary function indexes of both groups were decreased compared with those before surgery(P<0.05),but there was no significant difference in the above indexes between groups.7 days after operation,the total complication rate of group B was lower than that of group A(P<0.05).Conclusion:Compared with the intercostal approach,subxiphoid single hole video-assisted thoracoscopic surgery in the treatment of bilateral pulmonary bulla can reduce the amount of blood loss,shorten the operation time,preserve the drainage tube time,reduce the injury to the body,reduce the incidence of complications,and do not increase the injury to lung function.
Single holeLaparoscopyAn operationBilateralPulmonary bullaPainLung functionInfluence
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