摘要
目的:探讨单操作孔胸腔镜肺叶切除术治疗非小细胞肺癌的临床疗效。方法:选择某院收治的非小细胞肺癌患者106例,将所有患者分为2组,每组各53例。对照组采用常规三孔式胸腔镜肺叶切除术治疗,观察组采用单操作孔胸腔镜肺叶切除术治疗,比较2组手术相关指标、术后恢复指标、疼痛程度及并发症发生率。结果:观察组术中出血量、术后第1天、第3天、第5天VAS评分均较对照组低,差异有统计学意义(P <0. 05);观察组淋巴清扫数目、手术时间与对照组比较,差异无统计学意义(P> 0. 05);观察组术后引流时间、下床活动时间及住院时间均略低于对照组,但差异无统计学意义(P> 0. 05); 2组患者并发症发生率比较,差异无统计学意义(P> 0. 05)。结论:单操作孔与常规三孔式胸腔镜肺叶切除术均可有效治疗非小细胞肺癌,但单操作孔胸腔镜肺叶切除术更具微创性,可减少术中出血量、减轻术后疼痛,且并发症较少,值得临床应用推广。
Objective ：To investigate the efficacy of single port video-assisted thoracosopic surgery （ SP-VATS ） in treatment of non-small cell lung carcinoma （ NSCLC ）. Methods ： 106 NSCLC patients in a hospital were selected and randomly divided into two groups, 53 cases in each. The control group was given routine three-hole thoracosopic pulmonary lobectomy, while the observation group was treated with SP-VATS. The surgical indexes, postoperative recovery indexes, pain degree and incidence of complications were compared between the two groups. Results ：The intraoperative bleeding volume of the observation group was lower than that of the control group （ P 〈 0.05 ）. There was no statistical difference in the lymph node dissection number and operation time between the two groups （ P 〉 0. 05 ）. The postoperative drainage time, leaving bed time and hospital stays in the observation group were slightly lower than those in the control group, with no statistical difference （ P 〉 0.05 ）. The postoperative 1, 3, 5d VAS scores of the observation group were lower than those of the control group （ P 〈 0.05 ）. There was no statistical difference in the incidence of complications between the two groups （ P 〉 0.05 ）. Conclusion ： SP-VATS and routine three-hole thoracosopic pulmonary lobectomy in treatment of NSCLC are effective, but SP-VATS is more minimally invasive. It can reduce intraoperative bleeding, alleviate postoperative pain and result in less complications ,which is worthy of application and promotion.
作者
闫付庆
黄雪晖
YAN Fu-qing;HUANG Xue-hui(Thoracic Surgery,Nanyang Second People＇s Hospital,Henan 473000,China)
出处
《淮海医药》
CAS
2018年第6期673-675,共3页
Journal of Huaihai Medicine
关键词
癌
非小细胞肺
单操作孔
常规三孔式
肺切除术
Carcinoma
non-small cell lung
Single utility port
Routine three-hole
Pneumonectomy
