电视辅助胸腔镜手术与开胸手术患者短期生活质量的比较。
Comparison of short-term quality of life in patients undergoing video-assisted thoracoscopic surgery versus thoracotomy.
作者信息
Cansever Levent, Sezen Celal Buğra, Yaran Onur Volkan, Bedirhan Mehmet Ali
机构信息
Department of Thoracic Surgery, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.
出版信息
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Oct 21;28(4):623-628. doi: 10.5606/tgkdc.dergisi.2020.19169. eCollection 2020 Oct.
BACKGROUND
This study aims to compare the short-term quality of life of patients undergoing video-assisted thoracoscopic surgery versus thoracotomy.
METHODS
A total of 96 patients (58 males, 38 females; mean age 58.4±11.7 years; range, 18 to 80 years) who underwent video-assisted thoracoscopic surgery or thoracotomy in our hospital between March 2018 and March 2019 were retrospectively analyzed. Demographic and clinical characteristics and comorbidities of the patients were recorded. Quality of life of the patients was evaluated using the Short Form-36 health survey at the first postoperative month.
RESULTS
Of the patients, 43 (44.8%) were treated by video-assisted thoracoscopic surgery and 53 (55.2%) by thoracotomy. Complications occurred in nine (20.9%) patients following video-assisted thoracoscopic surgery and in 12 (22.6%) patients following thoracotomy (p=0.840). At one month postoperatively, the patients in the video-assisted thoracoscopic surgery group had a better quality of life than those in the thoracotomy group (p<0.05).
CONCLUSION
Our study results suggest that both recovery and short-term quality of life seem to be better in patients undergoing video-assisted thoracoscopic surgery than in those treated by thoracotomy.
背景
本研究旨在比较接受电视胸腔镜手术与开胸手术患者的短期生活质量。
方法
回顾性分析2018年3月至2019年3月期间在我院接受电视胸腔镜手术或开胸手术的96例患者（男58例，女38例；平均年龄58.4±11.7岁；年龄范围18至80岁）。记录患者的人口统计学和临床特征以及合并症。术后第一个月使用简短健康调查问卷（Short Form-36）评估患者的生活质量。
结果
患者中，43例（44.8%）接受电视胸腔镜手术治疗，53例（55.2%）接受开胸手术治疗。电视胸腔镜手术后9例（20.9%）患者发生并发症，开胸手术后12例（22.6%）患者发生并发症（p = 0.840）。术后1个月，电视胸腔镜手术组患者的生活质量优于开胸手术组（p<0.05）。
结论
我们的研究结果表明，接受电视胸腔镜手术的患者恢复情况和短期生活质量似乎优于接受开胸手术的患者。
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