单孔与单操作孔胸腔镜在NSCLC手术治疗中的价值对比分析  

The Analysis of Clinical Value between Uniportal and Two-port Video-assisted Thoracoscopic Surgery for Non-small Cell Lung Cancer

作　　者：白钰[1] 吕德胜[1] 李默[1] 孙舸[1] 张雪飞[1] 刘长宏[1] BAI Yu LV De-sheng LI Mo et al(Department of Thoracic Surgery, the Second Affiliated of Dalian Medical University, Dalian 116027, China)

机构地区：[1]大连医科大学附属第二医院胸外科,辽宁大连116027

出　　处：《医学与哲学（B）》2016年第10期31-33,共3页Medicine & Philosophy(B)

摘　　要：目前单孔胸腔镜手术正普遍应用于非小细胞肺癌（NsCLC）的治疗，探讨单孔胸腔镜手术在肺癌治疗中的应用价值变得至关重要。回顾性分析单孔胸腔镜手术与单操作孔（两孔）手术治疗NSCLC的效果及术后恢复情况。选取2015年10月～2016年5月176例术中或术后诊断为NSCLC的患者，其中单孔胸腔镜组109例作为观察组，又随机分为跨肋及不跨肋放置引流管；选取单操作孔（两孔）胸腔镜手术67例作为对照组。统计结果发现单孔组总体手术时间（101．77±28．48）min明显比单操作组（123．72±33．12）min缩短（P〈0．05），而胸引管置管时间和术后住院时间各组总体无明显差异（P〉0．05），跨肋放置胸引流管的患者术后切口恢复时间更短（P〈0．05）。因此，单孔胸腔镜在NSCLC的治疗中手术时间缩短，创口的缩小以及跨肋放置胸引流管减少术后切口感染与疼痛，加速切口恢复的优势都在肺癌的外科治疗中具有一定临床应用价值。To analyze the effect of operation time and postoperative recovery of patients with non-small cell lung cancer（NSCLC）by using single-port video-assisted thoracoscopic surgery and explored its value in the treatment of lung cancer.From October 2015 to May 2016,176 cases with preoperative diagnosis of NSCLC were analyzed.This included 109 cases of single-port thoracoscopy and 67 cases of two-port thoracoscopy resection,including segmental resection and lobectomy.The group for single-port had an operation time of（101.77±28.48）min while the two-port group operative time was（123.72±33.12）min（P〈0.05）.And in the duration of chest tube indwelling time and postoperative length of stay in each group has no difference（P〉0.05）.However,the shorter duration of chest tube indwelling and postoperation ache in single port group had significant statistically difference using tube of cross lib with a shorter post-operative length of stay.In conclusion,single-port thoracoscopic lung cancer radical operation using cross lib can shorten the operation time,reduce postoperative pain,improve the postoperative recovery time and improve postoperative short-term quality of life.In the surgical treatment of lung cancer has certain clinical application value in using single-port thoracoscopy in non-small cell lung cancer.

关 键 词：单孔胸腔镜 非小细胞肺癌 跨肋留置引流管 术后恢复 

分 类 号：R734.2[医药卫生—肿瘤]