何德荣　植华德　谢保东

【摘要】 目的：观察内镜用直线切割缝合器在胸腔镜肺叶切除术中的临床应用效果。方法：选取2013年1月-2014年6月在笔者所在医院进行胸腔镜肺叶切除术的50例患者作为研究对象，随机将其分为应用组与对照组，每组25例。应用组患者在手术中使用内镜用直线切割缝合器，对照组患者使用传统人工缝合方式。比较两组的手术时间、术中出血量、术中血压及并发症发生情况。结果：应用组25例患者均顺利完成了手术，对照组有5例患者在术中出现大出血、支气管胸膜瘘等并发症。两组手术时间、术中出血量、术中血压等各项生命体征比较，差异均有统计学意义（P<0.05）。在手术结束后3个月内进行随访调查，应用组患者的预后和愈合均较好，而对照组有3例患者出现伤口感染、迟发性出血等并发症。结论：内镜用直线切割缝合器在胸腔镜肺叶切除术中具有较好的应用效果。

【关键词】 内镜用直线切割缝合器； 胸腔镜肺叶切除术； 临床效果

中图分类号 R608 文献标识码 A 文章编号 1674-6805（2016）5-0001-03

【Abstract】 Objective：To explore the clinical effect of linear cutting stapler in thoracoscopic lobectomy in endoscopic observation.Method：50 patients underwent thoracoscopic lobectomy in our hospital from January 2013 to June 2014 were selected as research objects，they were randomly divided into the the control group and the application group，25 cases in each group.The control group was treated by traditional manual suturing way，the group patients in the operation of endoscopic linear stapling device.Operation time，intraoperative blood loss，intraoperative blood pressure and complications of the two groups were compared.Result：The operation was successfully performed in 25 patients，and the control group had 5 cases with massive hemorrhage，and other complications.Operation time， intraoperative blood loss， intraoperative blood pressure and other vital signs of the two groups were compared， the differences were statistically significant（P<0.05）.Follow-up survey was conducted within 3 months after surgery，the prognosis and healing of the patients were better in the application group，while the control group had 3 cases with wound infection.Conclusion：Endoscopic linear stapler has a good application effect in thoracoscopic lobectomy.

【Key words】 Endoscopic linear cutter stapler； Thoracoscopic lobectomy； Clinical effect

First-authors address：The Peoples Hospital of Beiliu City，Beiliu 537400，China

doi：10.14033/j.cnki.cfmr.2016.5.001

胸腔鏡肺叶切除术是近年来在胸腔恶性肿瘤外科手术的一种方式。而在手术中对动脉、肺脏、支气管的缝合是手术成功的关键[1]。内镜用直线切割缝合器能够很好解决这一问题，其能够对内脏组织起到切除、缝合的作用，减小对血管的损伤，防止术中大量出血，降低出现中转开胸的情况，提高患者的预后和生活质量。本文对内镜用直线切割缝合器在胸腔镜肺叶切除术中的应用效果展开分析，现报告如下。

1 资料与方法

1.1 一般资料

选取2013年1月-2014年6月在笔者所在医院进行胸腔镜肺叶切除术50例患者作为研究对象，随机将其分为应用组与对照组，每组25例。应用组患者中，男13例，女12例，年龄52.3～76.5岁，平均（56.7±0.8）岁；……