摘要
目的:分析经剑突下入路和经肋间入路单孔胸腔镜胸部手术的临床疗效。方法:回顾性分析2023年1月—2024年12月赣州市第五人民医院收治的胸部疾病患者80例,根据入路方式不同,将经肋间入路单孔胸腔镜手术治疗患者设为对照组(n=40),将经剑突下入路单孔胸腔镜手术治疗患者设为试验组(n=40),比较两组围手术期指标及两组术后1、2、3 d疼痛情况(VAS评分)差异,统计两组并发症发生情况。结果:试验组手术时间、术后止痛药使用时间、住院时间显著短于对照组,试验组术中出血量、引流量显著少于对照组,术后拔管时间显著早于对照组(P<0.05),两组淋巴结清扫个数比较差异无统计学意义(P>0.05);术后1、2、3 d两组VAS评分逐渐降低(P<0.05),且试验组不同时间点VAS评分低于对照组(P<0.05);试验组并发症发生率低于对照组,但两组比较差异无统计学意义(P>0.05)。结论:与经肋间入路单孔胸腔镜胸部手术相比,经剑突下入路能有效缩短患者术后住院时间,减轻术后疼痛程度。
Objective:To analyze the clinical efficacy of subxiphoid approach and intercostal approach for single-hole thoracoscopic thoracic surgery.Method:A retrospective analysis was conducted on 80 patients with chest diseases admitted to Ganzhou Fifth People's Hospital from January 2023 to December 2024.According to the different approaches,the patients treated with single-port thoracoscopic surgery via intercostal approach were included in control group(n=40),and the patients treated with single-port thoracoscopic surgery via subxiphoid approach were set as experimental group(n=40).The perioperative indexes and pain status(VAS scores)at 1,2 and 3 d after surgery were compared between the two groups,and the complications in the two groups were counted.Result:The surgical time,postoperative analgesic use time and hospitalization time in the experimental group were significantly shorter than those in the control group,the intraoperative blood loss and drainage volume in the experimental group were significantly less than those in the control group,and the postoperative extubation time in the experimental group was significantly earlier than that in the control group(P<0.05),and the number of lymph node dissection between the two groups had no significant difference(P>0.05).The VAS scores in the two groups was decreased gradually at 1,2,3 d after surgery(P<0.05),and the VAS scores in experimental group at different time points were lower than those in control group(P<0.05).The incidence of complications in experimental group was lower than that in control group,but there was no statistical significance between two groups(P>0.05).Conclusion:Compared with single-port thoracoscopic thoracic surgery via intercostal approach,via subxiphoid approach can more effectively shorten the postoperative hospitalization time and alleviate the degree of postoperative pain.
作者
邝光志
杨倩
王传才
廖开福
赖启勋
谭东
KUANG Guangzhi;YANG Qian;WANG Chuancai;LIAO Kaifu;LAI Qixun;TAN Dong(Department of Cardiothoracic Surgery,Ganzhou Fifth People's Hospital,Ganzhou 341000,China;不详)
出处
《中国医学创新》
2025年第23期68-71,共4页
Medical Innovation of China
基金
江西省卫生健康委科技计划项目(202410814)。
关键词
剑突入路
肋间入路
单孔胸腔镜
胸部手术
Subxiphoid approach
Intercostal approach
Single-port thoracoscopic
Thoracic surgery'
