摘要
目的:分析单孔胸腔镜与三孔胸腔镜手术治疗肺癌的效果。方法:选取2021年1月—2023年12月莆田市第一医院收治的500例肺癌患者为研究对象,随机分为观察组(250例,单孔胸腔镜手术)和对照组(250例,三孔胸腔镜手术),比较两组手术指标、并发症发生率、疼痛评分、总引流量及生活质量。结果:观察组手术时间、引流管留置时间、术中出血量、住院时间各项指标均优于对照组,差异有统计学意义(t=33.454、32.765、31.678、35.632、31.256,P<0.05);观察组手术并发症少于对照组,差异有统计学意义(χ^(2)=2.342,P<0.05)。观察组疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组总引流量少于对照组,差异有统计学意义(P<0.05)。观察组生活质量(躯体、生理、心理等维度)评分更高,差异有统计学意义(P<0.05)。结论:单孔胸腔镜手术治疗肺癌可以降低并发症发生可能性,能够减轻疼痛感,有利于减少总引流量,应用优势比三孔胸腔镜更好,有助于促使患者术后康复,对患者预后改善有促进作用。
Objective:To analyze the effects of single-port thoracoscopy and three-port thoracoscopy in the treatment of lung cancer.Method:500 lung cancer patients admitted to the First Hospital of Putian City from January 2021 to December 2023 were selected as the research subjects and randomly divided into the observation group(250 cases,single-port thoracoscopic surgery)and the control group(250 cases,three-port thoracoscopic surgery).The surgical indicators,incidence of complications,pain scores,total drainage volume and quality of life of the two groups were compared.Result:The indicators of operation time,indwelling time of drainage tube,intraoperative blood loss and hospital stay in the observation group were all better than those in the control group,and the differences were statistically significant(t=33.454,32.765,31.678,35.632,31.256,P<0.05).The surgical complications in the observation group were less than those in the control group,and the difference was statistically significant(χ^(2)=2.342,P<0.05).The pain score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total drainage volume of the observation group was less than that of the control group,and the differences were statistically significant(P<0.05).The scores of quality of life(physical,physiological,psychological and other dimensions)in the observation group were higher,and the differences were statistically significant(P<0.05).Conclusion:Single-port thoracoscopic surgery for lung cancer can reduce the possibility of complications,alleviate pain,help reduce the total drainage volume,and has better application advantages than three-port thoracoscopy.It is conducive to promoting postoperative recovery of patients and has a promoting effect on improving the prognosis of patients.
作者
施海展
林建生
SHI Haizhan;LIN Jiansheng(Putian First Hospital,Putian 351100,China;不详)
出处
《中外医学研究》
2025年第35期63-66,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
单孔胸腔镜
三孔胸腔镜
手术治疗
肺癌
治疗效果
Single-port thoracoscopy
Three-hole thoracoscopy
Surgical treatment
Lung cancer
Treatment effect
