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目的探讨单孔胸腔镜肺叶切除术在肺结核患者中的应用价值.方法选取2014年1月至2017年1月新疆维吾尔自治区胸科医院胸外科中心进行单孔胸腔镜肺叶切除术治疗的肺结核患者46例.所有患者均以2005年中华医学会颁布的《临床技术操作规范(结核病分册)》为诊断依据确诊,其中经过规范抗结核药物治疗失败28例(60.9%),咯血急诊手术8例(17.4%),疑似肺癌10例(21.7%).结果46例均在单孔胸腔镜下完成.其中,44例行肺叶切除术,2例行肺段切除术;术中3例中转开胸;手术标本病理检查均诊断为肺结核.本组患者术中平均失血量为(242.6±219.1) ml(20~1000 ml);平均手术时间为(157.8±59.8) min(60~300 min);术后平均带管时间为(3.6±1.4) d(2~8 d);术后平均住院时间(15.7±5.5) d(7~31 d).患者术后恢复良好,均未发生严重并发症,无一例患者死亡.结论只要掌握单孔胸腔镜技术要领,单孔电视胸腔镜技术对于符合手术适应证的肺结核患者同样是安全可行的.“,”Objective To investigate the value of single-incision thoracoscopic lobectomy applying in treatment of patients with pulmonary tuberculosis (PTB). Methods Forty-six patients who received uniportal thoracoscopic lobectomy treatment in the Chest Hospital of Xinjiang Uyghur Autonomous Region between January 2014 and January 2017 were selected.Among them, 28 (60.9%) patients received standardized treatment regimens of anti-tuberculosis drugs and presented failure, 8 (17.4%) patients got hemoptysis and received emergency operation, and 10 (21.7%) patients were suspected to be lung cancer. Results All the 46 patients received different kinds of operation under a single-incision thoracoscope, including lobectomy in 44 patients and segmentectomy in 2 patients.Three patients were transferred to thoracotomy.All patients were pathologically diagnosed as tuberculosis.The average blood loss was (242.6±219.1) ml (20-1000 ml);the average operation time was (157.8±59.8) min (60-300 min);the average postoperative intubation time was (3.6±1.4) days (2-8 days);the average postoperative duration of hospitalization was (15.7±5.5) days (7-31 dats).All patients got satisfied treatment outcomes without serious complications and without death. ConclusionThe techniques for single-incision thoracoscopic lobectomy is safe and feasible in treatment of patients with PTB if the key technical essentials of this technique are mastered and it is used to those patients who are eligible for the surgical indications.