单孔全胸腔镜解剖性肺段切除术治疗早期非小细胞肺癌的临床疗效研究  

Clinical efficacy study of single-hole full-thoracic anatomical segmentectomy for the treatment of early non-small cell lung cancer

作　　者：蔡艺斌 陈元美[1] 朱坤寿[1] Cai Yibin;Chen Yuanmei;Zhu Kunshou(Sector 2 of Thoracic Oncology,Fujian Cancer Hospital,Cancer Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian,350014,China)

机构地区：[1]福建省肿瘤医院,福建医科大学附属肿瘤医院胸部肿瘤外科二区,福建福州350014

出　　处：《当代医学》2020年第28期105-107,共3页Contemporary Medicine

摘　　要：目的探讨单孔全胸腔镜解剖性肺段切除术治疗早期非小细胞肺癌的疗效。方法选取2016年5月至2019年8月于本院就诊的65例早期非小细胞肺癌患者作为研究对象,按照手术方式的不同分为对照组(n=32)和观察组(n=33)。观察组采取单孔全胸腔镜解剖性肺段切除术治疗,参照组采取常规3孔胸腔镜肺段切除术治疗。比较两组手术时间、清扫淋巴结个数、出血量、引流天数、术后引流量、住院时间等手术相关指标和术后并发症发生情况。结果观察组手术时间长于对照组,住院时间短于对照组,差异有统计学意义(P<0.05);两组清扫淋巴结个数、出血量、引流天数、术后引流量比较差异无统计学意义;观察组术后并发症总发生率为15.15%,对照组术后并发症总发生率为18.75%,两组术后并发症总发生率比较差异无统计学意义。结论单孔全胸腔镜解剖性肺段切除术治疗早期非小细胞肺癌的疗效明显,可缩短住院时间,且手术安全性较高。Objective To investigate the effect of single-hole total thoracoscopic anatomical segmentectomy on early non-small cell lung cancer.Methods 65 patients with early-stage non-small cell lung cancer who were treated in our hospital from May 2016 to August 2019 were selected as the study subjects,and they were divided into control group(n=32)and observation group(n=33).The observation group was treated with singlehole thoracoscopic anatomical segmentectomy,and the reference group was treated with conventional 3-hole thoracoscopic segmentectomy.The operation time,the number of lymph nodes dissected,the amount of bleeding,the number of days of drainage,the amount of postoperative drainage,and the length of hospitalization and the incidence of postoperative complications were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,and the hospitalization time was shorter than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the number of lymph nodes cleaned,bleeding volume,drainage days,and postoperative drainage volume.The total incidence of postoperative complications in the observation group was 15.15%,and the total incidence of postoperative complications in the control group was 18.75%.There was no statistically significant difference in the total incidence of postoperative complications between two groups.Conclusion The single-hole total thoracoscopic anatomical segmentectomy for the treatment of early non-small cell lung cancer has obvious efficacy,shortens the length of hospital stay,and has high surgical safety.

关 键 词：早期非小细胞肺癌 单孔全胸腔镜 解剖性肺段切除术 肺叶切除术 临床疗效 

分 类 号：R734.2[医药卫生—肿瘤]