不同胸腔镜下肺癌根治手术的临床效果分析  

Analysis of the clinical effect of radical lung cancer surgery under different thoracoscopy

作　　者：李奎 谢颂平[2] 江万里[2] 范国华[2] LI Kui;XIE Songping;JIANG Wanli;FAN Guohua(Department of Thoracic and Cardiovascular Surgery,Yiling Hospital of Yichang,Yichang,Hubei,443100,China;Department of Thoracic Surgery,Renmin Hospital ofWuhan University,Wuhan,Hubei,430060,China)

机构地区：[1]宜昌市夷陵医院胸心血管外科,湖北宜昌443100 [2]武汉大学人民医院胸外科,湖北武汉430060

出　　处：《当代医学》2023年第9期122-124,共3页Contemporary Medicine

摘　　要：目的探究不同胸腔镜下肺癌根治手术的临床效果。方法选取2019年2月至2020年12月本院收治的54例肺癌患者作为研究对象,随机分为参照组与实验组,每组27例。参照组应用单孔胸腔镜下肺癌根治术进行治疗,实验组采用三孔胸腔镜下肺癌根治术进行治疗。比较两组围手术期指标、治疗前后免疫功能情况、并发症发生情况。结果实验组手术时间短于参照组,引流管留置时间、住院时间均长于参照组,术后引流量多于参照组,术后疼痛评分高于参照组,差异有统计学意义(P<0.05);两组淋巴结清扫数量、术中出血量比较差异无统计学意义。术前,两组CD4^(+)、CD3^(+)、CD4^(+)/CD8^(+)比较差异无统计学意义;术后3 d,实验组CD4^(+),CD3^(+),CD4^(+)/CD8^(+)均低于参照组,差异有统计学意义(P<0.05)。实验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论不同胸腔镜下肺癌根治术效果无明显差异,但单孔胸腔镜下的整体治疗效果较好,可缓解患者疼痛程度,减少术后引流量,对患者免疫功能的影响较小,能较好地促进患者病情恢复。Objective To explore the clinical effect of radical lung cancer surgery under different thoracoscopy.Methods 54 lung cancer patients admitted to our hospital from February 2019 to December 2020 were selected as the study subjects,and they were randomly divided into the reference group and the experimental group,with 27 cases in each group.The reference group used single-hole thoracoscopic radical lung cancer,and the experimental group used three-hole thoracoscopy.The perioperative indicators,the immune function before and after treatment,and the occurrence of complications were compared between the two groups.Results The operation time in the experimental group was shorter than that in the reference group,the indentation time and hospitalization time were longer than that in the reference group,the postoperative drainage volume was more than that in the reference group,and the postoperative pain score was higher than those in the reference group,and the differences were statistically significant(P<0.05).There was no significance difference in the number of lymph nodes dissection and intraoperative blood loss between the two groups.Before surgery,there was no significant difference in CD4^(+),CD3^(+)and CD4^(+)/CD8^(+)between the two groups;3 d after surgery,CD4^(+),CD3^(+),CD4^(+)/CD8^(+)in the the experimental group were lower than those in the reference group,the differences were statistically significant(P<0.05).The complication rate in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion There is no significant difference in different thoracoscopy,but the overall treatment effect under single-hole thoracoscopy is good,which can relieve the pain degree of patients,reduce the postoperative drainage rate,have little effect on the immune function of patients,and can better promote the recovery of patients.

关 键 词：胸腔镜 肺癌 根治手术 临床效果 

分 类 号：R734.2[医药卫生—肿瘤]