单孔胸腔镜治疗早期非小细胞肺癌的临床疗效分析  

Clinical analysis of single port thoracoscopy in the treatment of patients with early non-small cell lung cancer

作　　者：翁贤武[1] 梁诚之[1] 林培锋[1] 张建海[1] 缪寿式 吴海帆 

机构地区：[1]瑞安市人民医院胸外科,浙江瑞安325200

出　　处：《中华全科医学》2017年第6期977-979,共3页Chinese Journal of General Practice

摘　　要：目的胸腔镜技术在肺癌治疗中广泛使用,关于单孔胸腔镜与三孔法胸腔镜治疗早期非小细胞肺癌疗效的相关研究目前仍较少,两种术式的临床疗效仍有较大争议。本研究旨在探讨单孔胸腔镜治疗早期非小细胞肺癌的临床疗效。方法收集瑞安市人民医院2015年1月—2016年6月收治的早期非小细胞肺癌患者116例,根据所行治疗术式,分为单孔组和三孔组,单孔组52例行单孔胸腔镜肺癌根治术,三孔组64例则行三孔胸腔镜肺癌根治术,对比分析2组患者的手术时间、术中出血量、淋巴结清扫数目、切口总长度、术中中转开放、术后引流量、胸腔引流时间、住院时间、患者满意度评分、术后第1天疼痛评分、术后第3天疼痛评分及术后并发症发生率。结果所有手术均成功实施。与三孔组相比,单孔组患者手术时间、术中出血量明显更多,切口总长度更短,术后引流量更少,满意度评分更高,术后第1天和第3天疼痛评分更低,差异具有统计学意义(P<0.05),而2组患者在淋巴结清扫数目、术中中转开放例数、胸腔引流时间、住院时间及术后并发症发生率方面,组间差异无统计学意义(P>0.05)。结论单孔和三孔胸腔镜肺癌根治术均能取得理想的临床效果,且保证了手术安全性,在缓解患者术后疼痛、切口美观方面更具优势,值得临床进一步推广应用。Objective Thoracoscopy is widely used in the treatment of lung cancer. There is little research on the efficacy of single-port and three-port methods in the treatment of patients with early non-small cell lung cancer. The clinical efficacies of the two methods are still controversial. Methods We collected 116 cases of early non-small cell lung cancer patients admitted to our hospital from January,2015 to June,2016. According to the treatment methods,they were divided into the single-port and the three-port group. The 52 cases in single-port group was given radical resection of pulmonary carcinoma with single port thoracoscopy,while the 64 patients in the three-port group was treated with radical resection of pulmonary carcinoma with three-port thoracoscopy. Comparative analysis of operation time,intraoperative blood loss,number of lymph node dissection,the total length of the incision,converted to open surgery,postoperative drainage,drainage time,hospitalization time,patient satisfaction score,postoperative pain score of first days,third day postoperative pain score and postoperative complication rate was made between the two groups. Results All patients underwent surgery successfully. Compared with those of the three-port group,the operation time and the amount of bleeding were significantly more,the total length of the incision was shorter,postoperative drainage was less,satisfaction score was higher,postoperative first day and third days pain scores were lower,with statistical significance（ P〈0. 05）,while the number of lymph node dissection,the number of cases converted to open surgery,the incidence of thoracic drainage time,hospitalization time and postoperative complications showed no significant difference between the two groups（ P〈0. 05）. Conclusion The ideal clinical effect can be achieved with both single-port and three-port thoracoscopic radical resection of pulmonary carcinoma,and the safety of the operation can be guaranteed,with less postoperative pain and better incision appearance,which

关 键 词：胸腔镜 单孔 三孔 非小细胞肺癌 疗效 

分 类 号：R734.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]