80例完全电视胸腔镜下肺癌根治手术护理配合与体会

李少娟+李翠翠+郭履平

[摘要] 目的 探讨完全胸腔镜下肺癌根治术患者的护理配合体会。 方法 对我院于2013年1月～2015年12月间收治的80例肺癌患者在胸腔镜下行肺叶切除加淋巴结清扫术治疗，按照围术期护理方法的方法不同分为两组，其中40例给予临床常规护理，纳入对照组，另外40例采取围术期护理干预模式，纳入观察组，最终对两组患者的手术结果及相关并发症发生率展开对比。 结果 两组患者手术过程均顺利，其中对照组术中转常规开胸手术2例，腔镜手术成功率95%，而观察组手术成功率高达100%；相比对照组，观察组手术时间更短，出血量更少，并发症发生率更低，术后手术效果满意，两组比较差异有统计学意义（P<0.05）。 结论 完善的术前准备、术前对患者进行心理干预，术中器械的良好性能，密切的术中配合是手术成功开展的重要保证。

[关键词] 胸腔镜；肺癌根治术；护理配合

[中图分类号] R472 [文献标识码] A [文章编号] 2095-0616（2017）13-94-03

[Abstract] Objective To explore the nursing coordination of patients undergoing radical resection of lung cancer under complete thoracoscope. Methods 80 patients with lung cancer treated with lobectomy and lymph node dissection in our hospital from January 2013 to December 2015 were selected and divided into two group according to different perioperative nursing methods.40 cases in control group were treated with clinical routine nursing，40 cases in observation group were treated with perioperative nursing intervention model.Results of operation and the incidence of related complications of the two groups were compared. Results The operation of the two groups was successful.Among them，the control group was converted to conventional thoracic surgery in 2 cases，and the success rate of endoscopic surgery was 95%，while the success rate of the observation group was 100%.Compared with the control group，the operation time of the observation group was shorter，the amount of bleeding less，the complication rate were lower， and the operation effect was satisfactory. The difference between the two groups was statistically significant （P<0.05）. Conclusion Perfect preoperative preparation，preoperative psychological intervention，good performance of the instrument and close cooperation with each other are important guarantee for the successful operation.

[Key words] Thoracoscope；Radical resection of lung cancer；Nursing coordination

肺癌的治療以手术为主，传统肺癌根治手术方式是胸部后外侧切口行肺叶切除加淋巴结清扫，具有切口大、出血多、痛苦大等缺点[1]。近年来随着科学技术和微创概念的发展以及人们生活水平的提高，全胸腔镜肺叶切除肺癌根治手术已广泛应用于临床，电视胸腔镜手术（video-assisted thoracoscopic surgery，VATS）是微创胸腔外科手术，是在电视影像监视辅助下完成过去由传统开胸进行的操作手术[2-3]。它具有切口小、创伤小、疼痛轻、引流量少、心肺功能影响较小、恢复较快、住院时间短等优点[4]。我院于2013年1月～2015年12月开展胸腔镜下肺癌根治术治疗患者 80 例，取得了良好的效果，现将手术配合体会报道如下。

1 资料……