单孔胸腔镜下肺叶切除术治疗周围型肺癌的临床效果分析-现代医学

单孔胸腔镜下肺叶切除术治疗周围型肺癌的临床效果分析

单位：江苏省泰州市人民医院胸外科, 江苏泰州 225300

分类号：R655.3

出版年·卷·期（页码）：2017·36·第五期（729-732）

摘要：

目的：探讨单孔胸腔镜下肺叶切除术治疗周围型肺癌的临床效果。方法：回顾性分析胸腔镜下肺叶切除术的周围型肺癌患者的临床资料，其中接受单孔法胸腔镜手术者20例，接受三孔法胸腔镜手术者100例。观察两组患者手术一般情况，比较两组患者术后恢复、生存率和并发症发生率的差异。结果：两组患者手术时间和清扫淋巴结个数无明显差别，而单孔组患者术中出血量明显较三孔组少（P<0.05）；两组患者术后拔除胸腔引流管时间无明显差别，而单孔组患者术后下床活动时间和住院时间较三孔组短，术后VAS得分较三孔组低，差异就有统计学意义；两组患者1年生存率无明显差别（P>0.05）；两组患者持续肺漏气、肺部感染、喉返神经损伤和慢性疼痛等并发症发生率无明显差别（P>0.05）。结论：单孔胸腔镜下肺叶切除术对周围型肺癌有较好的治疗效果，术中出血量少，痛苦小，术后恢复快，具有临床推广应用价值。

Objective: To investigate the single hole thoracoscopic lobectomy for peripheral lung cancer. Methods: A retrospective analysis was used to analysis the clinical data of patients with peripheral lung cancer treated in our hospital from March 2013 to May 2015 were selected as objects, including 20 cases of patients undergoing video-assisted thoracoscopic surgery (VATS) with single hole method, three holes method video-assisted thoracoscopic surgery (VATS) 100 cases. Observed the operation of the two groups of patients, compared with the two groups of patients with postoperative recovery, survival rate and the incidence of complications. Results: Two groups of patients with operation time and lymph nodes without significant difference, while the volume of blood loss during single hole group of patients was compared with the three hole group less (P<0.05); Two groups of patients after removal of the chest drainage tube time had no significant difference, and single hole group of patients with postoperative bed activity time and shorter hospitalization time is three hole group, postoperative VAS scores were three hole group is low, the difference is statistically significant; There was no significant difference in the 1 year survival rate between the two groups (P<0.05); There was no significant difference in the incidence of pulmonary air leakage, pulmonary infection, recurrent laryngeal nerve injury and chronic pain between the two groups (P>0.05). Conclusion: Single hole thoracoscopic lobectomy for peripheral lung cancer have better therapeutic effect, less bleeding, less pain, postoperative quick recovery, with the value of clinical application.

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