单孔胸腔镜手术治疗肺结节的临床疗效分析  

Clinical Efficacy Analysis of Single-port Thoracoscopic Surgery for Pulmonary Nodules

作　　者：高文闯 顾云[1] 施乃明 郑成远 GAO Wenchuang;GU Yun;SHI Naiming;ZHENG Chengyuan(Department of Thoracic Surgery,Lianshui County People's Hospital,Lianshui,Jiangsu Province,223400 China)

机构地区：[1]涟水县人民医院胸外科,江苏涟水223400

出　　处：《系统医学》2023年第1期155-158,共4页Systems Medicine

基　　金：淮安市卫生健康研究项目-面上项目(HAWJ201931)。

摘　　要：目的研究单孔胸腔镜手术治疗肺结节的临床疗效。方法选取2020年7月—2022年6月在涟水县人民医院进行胸腔镜手术治疗的60例肺结节患者,随机分为两组,各30例。对照组采用三孔胸腔镜手术治疗,观察组采用单孔胸腔镜手术治疗。比较两组患者治疗总有效率,术中出血量、术后引流量以及手术时间,并统计两组患者的疼痛情况。结果观察组治疗总有效率为96.67%,优于对照组的66.67%,差异有统计学意义(χ^(2)=9.016,P<0.05)。观察组患者的术中出血量及手术时间分别为(50.14±18.91)mL、(159.27±16.18)min,与对照组比较,差异无统计学意义(t=1.029、0.033,P>0.05)。观察组患者的术后引流量为(107.15±9.27)mL,与对照组比较,差异有统计学意义(t=21.665,P<0.05)。观察组患者术后第2、5、7天的疼痛评分分别为(7.91±0.17)分、(6.31±0.17)分、(4.31±0.17)分,均优于对照组,差异有统计学意义(t=18.623、11.173、15.270,P<0.05)。结论单孔胸腔镜手术治疗肺结节的临床疗效优于多孔胸腔镜手术,可有效减轻患者疼痛程度,治疗总有效率更高,具有良好的临床应用价值。Objective To study the clinical efficacy of single-port thoracoscopic surgery in the treatment of pulmonary nodules.Methods Sixty patients with pulmonary nodules who underwent thoracoscopic surgery in the People's Hospi⁃tal of Lianshui County from July 2020 to June 2022 were randomly divided into two groups,with 30 patients in each group.The control group was treated with three-hole thoracoscopic surgery,while the observation group was treated with single-hole thoracoscopic surgery.The total effective rate,intraoperative bleeding volume,postoperative drainage volume and operation time of the two groups were compared,and the pain situation of the two groups was statistically analyzed.Results The total effective rate of the observation group was 96.67%,which was better than that of the con⁃trol group(66.67%),and the difference was statistically significant(χ^(2)=9.016,P<0.05).The intraoperative bleeding volume and operation time of the patients in the observation group were(50.14±18.91)mL and(159.27±16.18)min,re⁃spectively,and there was no statistically significant difference compared with the control group(t=1.029,0.033,P>0.05).The postoperative drainage volume of patients in the observation group was(107.15±9.27)mL compared with that in the control group,the difference was statistically significant(t=21.665,P<0.05).The pain scores of patients in the observation group were(7.91±0.17)points,(6.31±0.17)points and(4.31±0.17)points respectively on the 2 d,5 d and 7 d after operation,which were better than those in the control group,and the difference was statistically signifi⁃cant(t=18.623,11.173,15.270,P<0.05).Conclusion The clinical effect of single-hole thoracoscopic surgery in the treatment of pulmonary nodules is better than that of multi-hole thoracoscopic surgery,which can effectively reduce the degree of pain of patients,and the total effective rate of treatment is higher,with good clinical application value.

关 键 词：单孔胸腔镜 三孔胸腔镜 肺结节 临床疗效 

分 类 号：R655.3[医药卫生—外科学]