单孔胸腔镜肺叶切除加纵隔淋巴结清扫术的临床效果术后恢复分析  

The Clinical Effects of Single-aperture Thoracoscopic and Mediastinal Lymph Node Cleaning were Analyzed

作　　者：赵永[1] 孙振宇[1] 顾敏威[1] 孙琦[1] 张勇[1] 李金友 申健 

机构地区：[1]江苏省无锡市第三人民医院胸外科,江苏无锡214000

出　　处：《河北医学》2018年第1期77-80,共4页Hebei Medicine

基　　金：江苏省自然科学基金;(编号:BK2007553)

摘　　要：目的:分析单孔胸腔镜肺叶切除加纵隔淋巴结清扫术的临床疗效。方法:选择我院2015年1月12日至2017年1月12日收治的102例肺癌患者,对常规组采取三孔法胸腔镜手术与系统性淋巴结清扫,对实验组采取单孔胸腔镜肺叶切除术与系统性淋巴结清扫。结果:实验组患者的手术耗时、术中出血量、住院时间、医疗费用相比常规组均较低,另对比两组的引流管放置时间与总引流量等差异无统计学意义(P>0.05);实验组患者的VAS评分低于常规组,差异具有统计学意义(P<0.05)。结论:对肺癌患者采取单孔胸腔镜肺叶切除术与系统性淋巴结清扫术进行治疗的临床疗效显著。Objective： To analyze the clinical efficacy of single-aperture thoracoscopic pulmonary lobes and mediastinal lymph node cleaning. Methods： 102 cases of lung cancer patients admitted in our hospital from January 2015 to January 2017 were selected. The patients in routine group were taken the three hole method of thoracoscopic surgery and systemic lymph node dissection,and patients in the experimental group were taken the single hole thoracoscopic lobectomy and systematic lymph node dissection. Results： The time of operation,the amount of intraoperative bleeding,the time of hospitalization,and the cost of medical treatment were lower in the experimental group than in the routine group. There was no significant difference between the two groups of drainage tube placement time and total flow rate（ P〉0.05）. The VAS score of the patients in the experimental group was significantly lower than that in the routine group（ P〈0.05）. Conclusions： Taking the single hole thoracoscopic lobectomy and systematic lymph node dissection for patients with lung cancer has significant clinical curative effect.

关 键 词：单孔胸腔镜肺叶切除 纵隔淋巴结清扫术 肺癌 

分 类 号：R734.2[医药卫生—肿瘤]