达芬奇机器人与胸腔镜辅助小切口手术患者术后疼痛的病例对照研究  

Postoperative Pain in Patients with Da Vinci Surgical System versus Video-assisted Mini-thoractomy: A Case Controlled Study

作　　者：王希龙[1] 许世广[1] 刘博[1] 滕洪[1] 高昕[1] 王通[1] 刘星池[1] 李博[1] 徐惟[1] 丁仁泉[1] 王述民[1] 

机构地区：[1]沈阳军区总医院胸外科,沈阳110016

出　　处：《中国胸心血管外科临床杂志》2016年第3期230-233,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的 比较达芬奇机器人与胸腔镜辅助小切口手术对患者术后疼痛的影响。方法 回顾性分析我科2015年1-4月手术治疗的肺部和纵隔肿瘤患者88例的临床资料。按手术方式将患者分为机器人组[（49例,男23例、女26例,年龄（55.14±13.03）岁]和胸腔镜组[39例,男23例、女16例,年龄（56.92±8.98）岁],比较两组患者术后疼痛情况。结果 与胸腔镜组比较,机器人组手术时间（t=-2.298,P=0.024）和胸腔引流时间（t=-2.421,P=0.018）更短,且差异有统计学意义。与胸腔镜组比较,机器人组术后24 h视觉模拟（VAS）评分更低,差异也有统计学意义（1.00±0.74 vs.2.33±1.64,t=-4.704,P=0.000）。两组术后48 h VAS评分差异则无统计学意义（t=-0.244,P=0.808）。结论 与胸腔镜手术相比,达芬奇机器人手术系统治疗肺部及纵隔肿瘤,具有手术更安全、手术时间短、术后胸腔引流时间短、疼痛轻、更微创等优势。Objective To compare the effect of da Vinci Surgical System and video-assisted mini-thoractomy （VAMT） on postoperative pain of patients with lungs or mediastinal tumor. Methods We retrospectively analyzed the clinical data of 88 patients with lung or mediastinal tumor who underwent surgical treatment in our hospital from January 2015 through April 2015. The patients were divided into two groups including a robot group and a VAMT group. There were 49 patients in the robot group with 23 males and 26 females at age of 55.14±13.03 years and 39 patients with 23 males and 16 females at age of 56.92±8.98 years in the VAMT group. Results Compared with the VAMT group, shorter operation time （t=-2.298, P=0.024） and shorter time of drainage （t=2.421, P=0.018） were found in the robot group with statistical differences. There was a statistical difference in visual analogue scale （VAS） scores of postoperative 24 hours between the robot group and the VAMT group （1.00±0.74 vs. 2.33±1.64, t=4.704, P=0.000）. While no statistical difference was found in VAS scores of postoperative 48 hours （t=-0.244, P=0.808） between the two groups. Conclusion Compared with VAMT, da Vinci Surgical System can be used in the treatment of lung and mediastinal tumor with shorter operation time, shorter time of drainage, less pain, and less invasiveness.

关 键 词：疼痛 外科手术 微创性 机器人 达芬奇手术系统 

分 类 号：R734[医药卫生—肿瘤]