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单操作孔与三操作孔全胸腔镜手术治疗胸部肿瘤的近远期疗效对比
作者:邓煜锋  秦佃悦  袁天柱 
单位:柳州市工人医院(广西医科大学第四附属医院), 广西 柳州 545005
关键词:全胸腔镜 胸部肿瘤 操作孔 远期疗效 
分类号:R615
出版年·卷·期(页码):2019·47·第五期(522-525)
摘要:

目的:比较单操作孔与三操作孔全胸腔镜手术治疗胸部肿瘤的近远期疗效。方法:选取本院收治的64例胸部肿瘤患者作为研究对象,根据手术方式的不同分为两组。A组(34例)实施单操作孔全胸腔镜手术,B组(30例)实施三操作孔全胸腔镜手术。比较两组的手术时间,术中出血量,淋巴结清扫数目,术后并发症,术后疼痛程度,以及术后1年、2年、3年的无瘤生存率。结果:两组患者的手术时间、术中出血量、淋巴结清扫数目、拔管时间、住院时间比较差异均无统计学意义(P>0.05)。A组术后第1天及术后1个月的VAS评分均显著低于B组(P<0.05)。A组术后的并发症总发生率为11.76%,显著低于B组的36.67%(P<0.05)。A组术后1年、2年、3年的无瘤生存率分别为94.12%、83.33%、76.00%,与B组(93.33%、81.48%、73.91%)比较差异均无统计学意义(P>0.05)。结论:单操作孔与三操作孔全胸腔镜手术治疗胸部肿瘤的近期及远期疗效相当,但是单操作孔术后的并发症发生率更低,疼痛程度更轻。

Objective:To compare the short-term and long-term curative effects betweensingle operation hole and three operating holes for thoracoscopic surgery in the treatment of thoracic tumors. Methods:64 patients with thoracic tumors were divided into two groups according to the surgical methods. Group A (34 cases) used single thoracotomy operation and group B (30 cases) used three thoracoscopic thoracoscopic surgery. Then the operation time, intraoperative blood loss, number of lymph node dissection, postoperative complications, degree of postoperative pain and 1, 2, and 3 year tumor-free survival rates the two groupswere compared. Results:The operation time, intraoperative blood loss, number of lymph node dissection, extubation time and hospital stay in both groups had no significant differences (P>0.05). The VAS scores of group A at 1 day and 1 month after operation were significantly lower than those in group B (P<0.05). The total postoperative complication rate in group A was 11.76%, which was significantly lower than 36.67% in group B (P <0.05). The tumor-free survival rates at 1, 2, and 3 year in group Awere 94.12%, 83.33% and 76.00% respectively, which were not significantly different from those in group B (93.33%, 81.48%, 73.91%; P>0.05). Conclusion:Long-term and short-term curative effects of thoracoscopic surgery with single operation hole and three operation holes are comparable, but the incidence of complications after operation of single operation hole is lower and the degree of pain is lighter.

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