单操作孔完全胸腔镜与传统三孔胸腔镜治疗肺癌的疗效比较  

Effect Comparison of Single-port Video-assisted Thoracoscopic Surgery and Conventional Three-port Thoracoscopic Surgery in Lung Cancer

作　　者：王徽[1] WANG Hui(Department of Cardio-Thoracic Surgery,the Second People’s Hospital of Yibin,Yibin 644000,China)

机构地区：[1]宜宾市第二人民医院胸心外科,四川宜宾644000

出　　处：《中国医药指南》2020年第15期37-38,共2页Guide of China Medicine

基　　金：周围体外循环对术侧股静脉血浆凝血因子的影响(编号:Q17085)

摘　　要：目的研究单操作孔胸腔镜与传统三孔胸腔镜治疗肺癌的疗效比较。方法选取2015年1月至2019年1月我院收治的接受肺叶切除术的肺癌患者60例,采用随机分组法分为单孔组与三孔组,每组各30例。其中单孔组患者予以单操作孔胸腔镜肺叶切除术,三孔组予以三孔胸腔镜肺叶切除术,比较两组患者术中、术后及后续随访情况。结果两组患者间各项指标对比均无显著差异(P>0.05),且单孔组术后第五天视觉模拟评分显著优于三孔组患者(P<0.01);随后对60例肺癌患者进行为期24个月的随访工作,期间并无肿瘤复发及死亡现象。结论单操作孔胸腔镜与传统三孔胸腔镜治疗肺癌的疗效相当,但因单操作孔较后者具有微创的优点,因此推荐临床应用单操作孔作为治疗该病的手段。Objective To compare the effect of single-port video-assisted thoracoscopic surgery and conventional three-port thoracoscopic surgery in lung cancer.Methods 60 lung cancer patients underwent the pulmonary lobectomy from January 2015 to January 2019 in our hospital were selected and randomly assigned to single-port group(n=30)and three-port group(n=30).Patients were treated with single-port video-assisted thoracoscopic surgery and conventional three-port thoracoscopic surgery,respectively.The intraoperative and postoperative conditions and follow-up results were compared.Results The intraoperative and postoperative index between groups were not significantly different(P>0.05);after 5 d of surgery,visual analogue scale scores in single-port group were significantly better than three-port group(P=0.00);during 24 m of follow-up visit,no recurrent and dead cases were appeared.Conclusion The single-port video-assisted thoracoscopic surgery has a fair effect with conventional three-port thoracoscopic surgery.However,single-port video-assisted thoracoscopic surgery is minimally invasive.It can be recommended in clinical practice.

关 键 词：单操作孔 胸腔镜 三孔胸腔镜 肺癌 肺叶切除术 

分 类 号：R734.2[医药卫生—肿瘤]