摘要
目的:探讨完全胸腔镜单操作孔法行肺叶切除术在非小细胞肺癌治疗中的临床效果。方法:选择2014年1月至2016年3月在南通大学附属东台市人民医院胸外科就诊的非小细胞肺癌患者90例,按照随机数字表法将患者分为研究组和对照组,每组45例;研究组患者采取完全胸腔镜单操作孔法肺叶切除术,对照组给予胸腔镜辅助小切口肺叶切除术,观察并记录两组患者的手术时间、术中出血量、淋巴结清扫个数、引流时间、总引流量及住院时间及并发症发生情况;采用视觉模拟评分法(VAS)对患者的疼痛指数进行评定。结果:研究组手术时间、引流时间和住院时间均短于对照组,术中出血量和总引流量少于对照组,第1～7天VAS评分显著低于对照组(均P<0.05)。研究组并发症发生率为6.67%,显著低于对照组的17.78%(P<0.05)。结论:完全胸腔镜单操作孔法行肺叶切除术能够有效提高小细胞肺癌患者的治疗效果,减少术中出血量,缩短住院时间,降低术后并发症发生率。
Objective:To investigate the effect of completely thoracoscopic operation of single hole method of lobectomy on non-small cell lung cancer. Methods:90 patients with non-small cell lung cancer were selected in our hospital from January 2014 to March 2016,and randomly divided into a study group and a control group,with 45 cases in each group.The patients in the study group received completely thoracoscopic operation of single hole method of lobectomy,and those in the control group received thoracoscopic lobectomy small incision.The operative time,bleeding volume,lymph node number,drainage time,drainage volume,hospital days and the complications incidence were compared.The visual analogue scale(VAS) was used to assess the pain intensity. Results:The operation time,drainage time and total hospital days in the study group were significantly shorter than the control group,and the intraoperative bleeding volume,drainage time and drainage volume were lower( P <0.05).No significant difference was found in lymph node dissection number between the two groups( P >0.05).The VAS score on day 1-7 in the study group was significantly lower than that in the control group( P <0.05).The incidence of complications in the study group was 6.67%,which was lower than that in the control group(17.78%)( P <0.05). Conclusion:Completely thoracoscopic operation of single hole method could elevate the curative effect of non-small cell lung cancer,reduce the blood loss volume,hospital days and the incidence of postoperative complications.
作者
胡青
杨洋
林永德
周浩
韩鑫
周叶枫
周晟劼
Hu Qing;Yang Yang;Lin Yongde;Zhou Hao;Han Xin;Zhou Yefeng;Zhou Shengjie(Department of Thoracic Surgery,Dongtai People’s Hospital of Nantong University,Dongtai 224000,China)
出处
《广西医科大学学报》
CAS
2019年第2期270-273,共4页
Journal of Guangxi Medical University
关键词
完全胸腔镜单操作孔法
肺叶切除术
非小细胞肺癌
completely thoracoscopic operation of single hole
lobectomy
non-small cell lung cancer
作者简介
通信作者:杨洋,E-mail:yangshao156@163.com.
