单孔与双孔胸腔镜下肺叶切除术在非小细胞肺癌治疗中的应用效果  

Application effect of single-port and double-port thoracoscopic lobectomy in the treatment of non-small cell lung cancer

作　　者：徐伟[1] 梁毅[1] 吴颖猛[1] 黄伟钊[1] 叶红雨[1] 唐渲[1] XU Wei;LIANG Yi;WU Ying-meng(Department of Cardio-Thoracic Surgery,Zhongshan People’s Hospital,Zhongshan 528400,China)

机构地区：[1]中山市人民医院心胸外科,528400

出　　处：《中国实用医药》2021年第14期45-48,共4页China Practical Medicine

摘　　要：目的探讨单孔与双孔胸腔镜下肺叶切除术在非小细胞肺癌(NSCLC)治疗中的应用效果。方法选取98例NSCLC患者,根据随机数字表法分为A组与B组,各49例。A组患者采用单孔胸腔镜下肺叶切除术,B组患者采用双孔胸腔镜下肺叶切除术。对比两组术中情况,胸管放置时间和住院时间,术后视觉模拟评分法(VAS)评分,术后并发症发生情况。结果两组手术时间、术中出血量、淋巴结清扫个数对比,差异无统计学意义(P>0.05)。A组胸管放置时间(5.42±3.49)d及住院时间(7.59±1.43)d均显著短于B组的(7.04±3.37)、(8.42±2.07)d,差异具有统计学意义(P<0.05)。两组术后6 h的VAS评分对比差异无统计学意义(P>0.05);术后24 h,两组VAS评分均较术后6 h显著降低,且A组显著低于B组,差异具有统计学意义(P<0.05)。两组术后并发症发生率对比,差异无统计学意义(P>0.05)。结论单孔与双孔胸腔镜下肺叶切除术用于NSCLC中,均可有效清除淋巴结,疗效显著,但与双孔胸腔镜下肺叶切除术相比,单孔胸腔镜下肺叶切除术可降低术后创伤和切口疼痛程度,缩短住院时间,促进术后恢复。Objective To discuss the practical effect of single-port and double-port thoracoscopic lobectomy in the treatment of non-small cell lung cancer(NSCLC).Methods A total of 98 NSCLC patients were divided into group A and group B according to random numerical table,with 49 cases in each group.Group A was treated with single-port thoracoscopic lobectomy,and group B was treated with double-port thoracoscopic lobectomy.The intraoperative conditions,chest tube placement time,hospitalization time,postoperative visual analogue scale(VAS)score,and occurrence of postoperative complications were compared between the two groups.Results There was no statistically significant difference in operation time,intraoperative blood loss and number of lymph node dissections between the two groups(P>0.05).The chest tube replacement time(5.42±3.49)d and hospitalization time(7.59±1.43)d of group A were significantly shorter than(7.04±3.37)and(8.42±2.07)d of group B,and the difference was statistically significant(P<0.05).There was no statistically significant difference in VAS score at 6 h after operation between the two groups(P>0.05);at 24 h after operation,the VAS scores of the two groups were significantly lower than those 6 h after operation,and group A was significantly lower than group B,and the difference was statistically significant(P<0.05).There was no statistically significant difference in incidence of postoperative complications between the two groups(P>0.05).Conclusion Both single-port and double port thoracoscopic lobectomy for NSCLC can effectively promote lymph nodes dissection,and the curative effect is significant.But compared with double-port thoracoscopic lobectomy,single-port thoracoscopic lobectomy can reduce postoperative trauma and incision pain,shorten hospitalization time,and promote postoperative recovery.

关 键 词：非小细胞肺癌 双孔胸腔镜下肺叶切除术 单孔胸腔镜下肺叶切除术 疼痛程度 并发症 

分 类 号：R734.2[医药卫生—肿瘤]