单孔胸腔镜手术与两孔胸腔镜手术治疗非小细胞肺癌的临床对比研究  

A comparative study of single-port thoracoscopic surgery and two-port thoracoscopic surgery in the treatment of non-small cell lung cancer

作　　者：赵凯[1] 车文成 ZHAO Kai;CHE Wen-cheng(Department of Thoracic Surgery,Zibo Central Hospital,Zibo 255020,China)

机构地区：[1]淄博市中心医院胸外科,255020

出　　处：《中国实用医药》2023年第9期17-20,共4页China Practical Medicine

摘　　要：目的探究单孔胸腔镜手术与两孔胸腔镜手术治疗非小细胞肺癌的临床效果。方法110例非小细胞肺癌患者作为研究对象,按照手术方法不同分为单孔胸腔镜组(46例)及两孔胸腔镜组(64例)。单孔胸腔镜组患者采用单孔胸腔镜手术治疗,两孔胸腔镜组患者采用两孔胸腔镜手术治疗。对比两组围术期指标,术后1、3、5、30 d的视觉模拟评分法(VAS)评分,术后并发症发生情况。结果单孔胸腔镜组患者的手术时间(125.34±21.47)min及胸腔引流时间(5.16±1.71)d均短于两孔胸腔镜组的(137.21±20.33)min、(5.86±1.87)d,手术出血量(134.69±22.64)ml少于两孔胸腔镜组的(143.68±20.87)ml,差异有统计学意义(P<0.05)。两组患者的中转开腹率、淋巴结清扫数目、术后引流量、住院时间对比差异均无统计学意义(P>0.05)。单孔胸腔镜组术后1、3、5、30 d的VAS评分分别为(5.12±1.21)、(4.45±1.35)、(2.69±0.83)、(0.98±0.54)分,均低于两孔胸腔镜组的(6.31±2.23)、(5.60±1.15)、(3.98±0.84)、(1.36±0.61)分,差异有统计学意义(P<0.05)。两组患者的术后并发症发生率对比,差异无统计学意义(P>0.05)。结论单孔胸腔镜手术相比两孔胸腔镜手术治疗非小细胞肺癌可获得更好的围术期指标,术后疼痛程度以及并发症发生率较低,操作安全性较高。Objective To investigate the clinical effect of single-port thoracoscopic surgery and two-port thoracoscopic surgery in the treatment of non-small cell lung cancer.Methods A total of 110 patients with non-small cell lung cancer were divided into single-port thoracoscopic group(46 cases)and two-port thoracoscopic group(64 cases)according to different surgical methods.Patients in the single-port thoracoscopic group were treated with single-port thoracoscopic surgery,and those in the two-port thoracoscopic group were treated with two-port thoracoscopic surgery.The perioperative indexes,visual analogue scale(VAS)score at 1,3,5 and 30 d postoperatively,and occurrence of postoperative complications were compared between the two groups.Results The operative time of(125.34±21.47)min and thoracic drainage time of(5.16±1.71)d in the single-port thoracoscopic group were shorter than those of(137.21±20.33)min and(5.86±1.87)d in the two-port thoracoscopic group;the intraoperative blood loss of(134.69±22.64)ml in the single-port thoracoscopic group was less than that of(143.68±20.87)ml in the two-port thoracoscopic group;the differences were statistically significant(P<0.05).There were no statistically significant differences in conversion to laparotomy rate,number of lymph node dissection,postoperative drainage volume and length of hospital stay between the two groups(P>0.05).VAS scores at 1,3,5 and 30 d postoperatively were(5.12±1.21),(4.45±1.35),(2.69±0.83)and(0.98±0.54)points in single-port thoracoscopic group,which were all lower than those of(6.31±2.23),(5.60±1.15),(3.98±0.84)and(1.36±0.61)points in the two-port thoracoscopic group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion Compared with two-port thoracoscopic surgery,single-port thoracoscopic surgery can obtain better perioperative indexes,lower postoperative pain and complication rate,and higher operat

关 键 词：单孔胸腔镜手术 两孔胸腔镜手术 非小细胞肺癌 疼痛程度 并发症 

分 类 号：R734.2[医药卫生—肿瘤]