电视胸腔镜辅助小切口和开胸手术治疗肺癌的临床疗效比较  

Comparison of Clinical Efficacy of Lung Cancer by Video-Assisted Thoracoscopic Small Incision and Thoracotomy

作　　者：朱秣含 ZHU Mohan(Yingkou Third People's Hospital,Yingkou 115000,China)

机构地区：[1]营口市第三人民医院,辽宁营口115000

出　　处：《中国医药指南》2022年第2期36-39,共4页Guide of China Medicine

摘　　要：目的探究肺癌应用开胸手术与电视胸腔镜辅助小切口手术进行治疗的临床疗效。方法本次试验对象全部选自本院2018年1月至2019年4月收治的92例肺癌患者,按照不同的治疗方式分成试验组(n=46)和对照组(n=46),对照组患者进行开胸手术治疗,试验组患者进行电视胸腔镜辅助小切口手术治疗,分析两种手术方案对患者产生的影响。结果试验组的住院费用、住院时间、引流时间、切口长度、术中出血量、手术时间分别为(2.87±0.11)万元、(5.44±1.24)d、(3.07±0.44)d、(6.39±1.67)cm、(142.25±15.65)mL、(150.36±10.22)min,对照组分别为(3.37±0.13)万元、(9.81±1.54)d、(4.36±0.58)d、(12.87±2.54)cm、(199.54±14.21)mL、(167.58±9.74)min,差异有统计学意义(P<0.05);试验组治疗后肺功能、并发症发生率和对照组相比,差异有统计学意义(P<0.05)。手术2周后试验组的hs-CRP、IL-6、IL-18水平及HAMA评分、HAMD评分均低于对照组(P<0.05)。手术后1 d、手术后3 d试验组的VAS评分均低于对照组(P<0.05),手术2周后试验组的VAS评分虽低于对照组,但无明显差异(P>0.05);试验组镇痛药物使用时间明显短于对照组(P<0.05)。结论肺癌应用电视胸腔镜辅助小切口手术进行治疗的临床效果显著,可减少手术对患者产生的损伤,改善肺功能,减少多种较严重的并发症,进而缩短恢复时间和治疗费用。Objective To explore the clinical efficacy of thoracotomy and video-assisted thoracoscopic small-incision surgery in the treatment of lung cancer.Methods The experimental subjects were all selected from 92 patients with lung cancer admitted to our hospital from January 2018 to April 2019.According to different treatment methods,they were divided into experimental group(n=46)and control group(n=46).Patients in the control group received thoracotomy treatment,and patients in the experimental group received video-assisted thoracoscopic small-incision surgery.The effects of the two surgical schemes on patients were analyzed.Results The hospitalization cost,length of hospital stay,drainage time,incision length,intraoperative blood loss and operation time of the experimental group were(2.87±0.11)ten thousand yuan,(5.44±1.24)d,(3.07±0.44)d,(6.39±1.67)cm,(142.25±15.65)mL,(150.36±10.22)min,the control group was(3.37±0.13)ten thousand yuan,(9.81±1.54)d,(4.36±0.58)d,(12.87±2.54)cm,(199.54±14.21)mL,(167.58±9.74)min,respectively,and the difference was statistically significant(P<0.05).There were significant differences in lung function and complication rate between the experimental group and the control group(P<0.05).Two weeks after the operation,the levels of hs-CRP,IL-6,IL-18,HAMA score and HAMD score of the test group were lower than those of the control group(P<0.05).The VAS scores of the test group were lower than those of the control group at 1 day and 3 days after the operation(P<0.05).Although the VAS score of the test group was lower than the control group 2 weeks after the operation,there was no significant difference(P>0.05);The use time of analgesics in the experimental group was significantly shorter than that in the control group(P<0.05).Conclusion The application of videoassisted small-incision surgery for lung cancer has significant clinical effect,which can reduce the injury caused by surgery to patients,improve lung function,reduce a variety of serious complications,and shorten the recovery time

关 键 词：肺癌 电视胸腔镜辅助小切口 开胸手术 并发症 

分 类 号：R734.2[医药卫生—肿瘤]