医学临床研究
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医学临床研究  2020, Vol. 37 Issue (11): 1667-1670    DOI: 10.3969/j.issn.1671-7171.2020.11.021
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胸腔镜肺癌根治术后肺部并发症发生风险分析
车强1, 汪林宝2, 王孝彬3, 王律1
1.西安大兴医院,陕西 西安 710016;
2.西安市胸科医院,陕西 西安 710100;
3.空军军医大学附属唐都医院,陕西 西安 710008
Risk Factors Analysis of Pulmonary Complications after Thoracoscopic Radical Resection of Lung Cancer
CHE Qiang, WANG Lin-bao, WANG Xiao-bin, et al
Xi'an Daxing Hospital, Xi'an, 710016,Shaanxi
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摘要 目的】探讨胸腔镜肺癌根治术后肺部并发症发生的风险因素。【方法】随机抽取2014年5月至2017年5月期间在本院进行胸腔镜肺癌根治术,但术后发生肺部并发症的55例患者作为观察组。同时,随机抽取同期在本院进行胸腔镜肺癌根治术,但术后未发生肺部并发症的60例患者为对照组。将患者一般资料及临床资料中的相关项目设为观察变量,分析胸腔镜肺癌根治术后出现肺部并发症的影响因素。【结果】年龄、吸烟、慢性阻塞性肺疾病(COPD)、术前呼气峰流速、围术期呼吸功能锻炼依从性均是影响胸腔镜肺癌根治术后肺部并发症发生的独立影响因素(OR=1.153、1.252、1.358、0.593、1.923)。【结论】高龄、吸烟、合并COPD是胸腔镜肺癌根治术后发生肺部并发症的独立危险因素,而术前呼气峰流速、围术期呼吸功能锻炼是避免发生肺部并发症的保护性因素,这为临床个体化预测术后肺部并发症的发生提供了参考。
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车强
汪林宝
王孝彬
王律
关键词 肺肿瘤/外科学胸腔镜检查肺疾病/并发症手术后并发症    
Abstract:【Objective】To investigate the risk factors of pulmonary complications after thoracoscopic radical resection of lung cancer.【Methods】A total of 55 patients with postoperative pulmonary complications who underwent thoracoscopic radical resection of lung cancer in our hospital from May 2014 to May 2017 were randomly selected as the complication group. A total of 60 patients without postoperative pulmonary complications after thoracoscopic radical resection of lung cancer at the same time were randomly selected as the control group. The relevant elements of general clinical data were set as observation variables to analyze the influencing factors of pulmonary complications after thoracoscopic radical resection of lung cancer.【Results】Age, smoking, chronic obstructive pulmonary disease (COPD), preoperative peak expiratory flow rate, and perioperative respiratory function exercise compliance were all independent factors influencing the occurrence of pulmonary complications after radical resection of thoracoscopic lung cancer (OR=1.153、1.252、1.358、0.593、1.923). 【Conclusion】Advanced age, smoking and combined COPD were independent risk factors for pulmonary complications after radical thoracoscopic lung cancer surgery, while preoperative peak expiratory flow rate and perioperative respiratory function exercise were protective factors to avoid pulmonary complications, which provided a reference for clinical individualization prediction of postoperative pulmonary complications.
Key wordsLung Neoplasms/SU    Thoracoscopy    Lung Diseases/CO    Postoperative Complications
收稿日期: 2020-09-29     
PACS:  R734.2  
通讯作者: E-mail:wanglv_1999@126.com   
引用本文:   
车强, 汪林宝, 王孝彬, 王律. 胸腔镜肺癌根治术后肺部并发症发生风险分析[J]. 医学临床研究, 2020, 37(11): 1667-1670.
CHE Qiang, WANG Lin-bao, WANG Xiao-bin, et al. Risk Factors Analysis of Pulmonary Complications after Thoracoscopic Radical Resection of Lung Cancer. JOURNAL OF CLINICAL RESEARCH, 2020, 37(11): 1667-1670.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.11.021     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I11/1667
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