全胸腔镜支气管袖式成形肺叶切除治疗中央型非小细胞肺癌的临床效果  

Clinical effect of video-assissted thoracic surgery sleeve lobectomy for central non-small cell lung cancer

作　　者：范海银[1] 张瑾 严进锦[1] 刘玉珍[1] 赵龙 付洪帆[1] 王武明[1] FAN Hai-yin;ZHANG Jin;YAN Jin-jin;LIU Yu-zhen;ZHAO Long;FU Hong-fan;WANG Wu-ming(The First Department of Thoracic Surgery,Jiangxi Chest Hospital,Jiangxi Province,Nanchang330006,China)

机构地区：[1]江西省胸科医院胸外一科,江西南昌330006

出　　处：《中国当代医药》2021年第32期88-91,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20175515)。

摘　　要：目的探讨全胸腔镜支气管袖式成形肺叶切除治疗中央型非小细胞肺癌(NSCLC)的临床效果。方法选取2016年1月至2018年12月江西省胸科医院收治的中央型30例NSCLC患者作为研究对象,采用随机数字表法将其分为实验组(15例)与对照组(15例)。实验组给予全胸腔镜支气管袖式成形肺叶切除治疗,对照组给予传统开胸手术治疗。比较两组相关临床指标[手术时间、术中出血量、术后6 h视觉模拟评分法(VAS)评分、术后3 d引流量、术后带管引流时间、术后住院时间以及清扫淋巴节组数]和术后并发症发生情况。结果实验组的术中出血量、术后3 d引流量少于对照组,术后6 h VAS评分低于对照组,术后带管引流时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05);两组的手术时间、清扫淋巴节组数比较,差异无统计学意义(P>0.05)。两组术后并发症总发生率比较,差异无统计学意义(P>0.05)。结论全胸腔镜支气管袖式成形肺叶切除治疗可明显减少中央型NSCLC患者术中出血量、缩短术后住院时间,并可有效减轻患者术后痛苦程度,治疗方案安全可行。Objective To explore the clinical effect of video-assissted thoracic surgery sleeve lobectomy for central non-small cell lung cancer(NSCLC).Methods A total of 30 central NSCLC patients in Jiangxi Chest Hospital from Jan 2016 to Dec 2018 were selected as the research objects,then divided into the experimental group(15 cases)and the control group(15 cases)according to the random number table method.The experimental group was treated with video-assissted thoracic surgery sleeve lobectomy,and the control group was treated with traditional open thoracotomy.The related clinical indexes [operation time,intraoperative bleeding,postoperative 6 hours visual analogue scale[VAS]score,postoperative 3 days drainage volume,postoperative drainage time,postoperative hospital stay and the number of lymph node dissection groups]and postoperative complications occurred of two groups were compared.Results The intraoperative blood loss and postoperative 3 days drainage volume of the experimental group were less than the control group,the postoperative 6 hours VAS score were lower than the control group,the postoperative drainage time and postoperative hospital stay of the experimental group were shorter than the control group,the differences were statistically significant(P<0.05);There were no statistically significant of operation time and the number of lymph node dissection groups between the two group(P>0.05).There was no statistically significant in total incidence of postoperative complications between the two group(P>0.05).Conclusion Video-assissted thoracic surgery sleeve lobectomy can significantly reduce the amount of blood loss of central NSCLC patients,shorten the postoperative hospital stay and effectively reduce the degree of postoperative pain,which is safe and feasible.

关 键 词：视辅助胸腔镜手术 支气管袖式肺叶切除术 中央型 非小细胞肺癌 

分 类 号：R734[医药卫生—肿瘤]