【摘要】 目的分析电视辅助胸腔镜手术(VATS)术后并发症的相关影响因素。方法回顾性分析VATS患者329例,围术期相关因素包括:年龄、性别、BMI、术前合并疾病、术前肺功能及心彩超检查,单肺通气时间及麻醉时间、术中失血量及补液量、手术侧及手术切除范围,术后ICU入住时间、引流管留置时间等,并进行逻辑回归分析。结果 329例患者术后肺部并发症为72例(21.88%),主要为术后肺渗出增加25例(7.6%)、肺炎23例(6.99%)和肺不张20例(6.08%)。多因素逻辑回归分析表明术前白蛋白水平、麻醉时间、ICU入住时间是VATS术后肺并发症的独立危险因素。结论术前白蛋白水平、麻醉时间、ICU入住时间是VATS术后肺并发症的独立危险因素。提高术前白蛋白浓度,缩短麻醉时间和ICU入住时间能降低VATS术后肺并发症发生率。更多还原

【Abstract】 Objective Analyzed relevant factors for post-operative pulmonary complications (PCs) in video-assisted thoracoscopy surgery(VATS).Methods Retrospectively analyzed perioperative factors of 329 patients who had undergone VATS.A logistic regression analysis was performed on factors which included:age,sex,BMI,pre-operative comorbidities,pre-operative pulmonary function and cardiac ultrasonography examination,one-lung ventilation time and anesthesia time,blood loss and fluid volume,operation side and surgical resection extent,post-operative ICU stay time and drainage tube indwelling time.Results Seventy-two patients(21.88%) had PCs. Increased pulmonary effusion occurred in 25 patients(7.6%),pneumonia occurred in 23 patients (6.99%),atelectasis occurred in 20 patients(6.08%).Binary logistic regression analysis showed that pre-operative albumin concentration,anesthesia time and ICU stay time were the independent risk factors of PCs after VATS.Conclusion Pre-operative albumin concentration,anesthesia time and ICU stay time were the independent risk factors of PCs after VATS.Improving albumin concentration,shortening anesthesia time and ICU stay time can decrease happen rate of PCs after VATS.更多还原