胸腔镜手术治疗非小细胞肺癌临床效果  

Clinical Observation on Thoracoscopic Surgery for Non-small Cell Lung Cancer

作　　者：郑威[1] 廖志敏[1] 黄维江[1] ZHENG Wei;LIAO Zhimin;HUANG Weijiang(Department of Cardiothoracic Surgery, Xiaogan Central Hospital, Xiaogan Hubei 432000, China)

机构地区：[1]孝感市中心医院心胸外科

出　　处：《中国继续医学教育》2019年第17期90-92,共3页China Continuing Medical Education

摘　　要：目的观察自主呼吸麻醉下单操作孔胸腔镜手术治疗非小细胞肺癌的临床效果。方法选定2017年9月-2018年9月本院收治的非小细胞肺癌患者92例作为研究对象,分组原则以入院顺序奇偶性为主,将其分为对照组(46例,行非气管插管自主呼吸麻醉、单操作孔胸腔镜下肺叶切除和系统淋巴结清扫术)与试验组(46例,行气管插管全身麻醉、多孔胸腔镜下肺叶切除和系统淋巴结清扫术),比较两组患者的术后并发症、术后相关指标。结果试验组患者的临床并发症发生率(13.04%)较对照组(32.60%)低,试验组术后相关指标较对照组低,差异具有统计学意义(P <0.05)。结论非小细胞肺癌行非气管插管自主呼吸麻醉、单操作孔胸腔镜下肺叶切除和系统淋巴结清扫术是安全可行的。Objective To observe the clinical effect of single-port thoracoscopic surgery under autonomous respiratory anesthesia for nonsmall cell lung cancer(NSCLC). Methods 92 patients with non-small cell lung cancer admitted to our hospital from September 2017 to September 2018 were selected as the study subjects. The principle of grouping was parity of admission sequence. The patients were divided into control group(46 cases underwent non-tracheal intubation spontaneous respiratory anesthesia, single-hole thoracoscopic lobectomy and systemic lymph node dissection) and experimental group(46 cases underwent tracheal intubation general anesthesia, porous thoracoscopic lobectomy and systemic lymph node dissection). The postoperative complications and related indicators were compared between the two groups. Results The incidence of clinical complications in the experimental group(13.04%) was lower than that in the control group(32.60%) and the related indexes in the experimental group were lower than those in the control group, the difference was statistically significant(P < 0.05). Conclusion It is safe and feasible for non-small cell lung cancer to undergo non-tracheal intubation, autonomous breathing anesthesia, single-hole thoracoscopic lobectomy and systematic lymphadenectomy.

关 键 词：自主呼吸麻醉 单操作孔胸腔镜 非小细胞肺癌 术后并发症 不良反应 治疗方法 

分 类 号：R734[医药卫生—肿瘤]