腋下小切口与胸腔镜手术治疗肺癌的效果研究  

Effect of subaxillary small incision and thoracoscopy surgery in the treatment of lung cancer

作　　者：夏冰[1] XIA Bing(Department of Thoracic Anorectal Surgery,Central Hospital of Zhuanghe City,Dalian,Liaoning,116400,China)

机构地区：[1]庄河市中心医院胸外肛肠科,辽宁大连116400

出　　处：《当代医学》2023年第21期132-134,共3页Contemporary Medicine

摘　　要：目的探讨腋下小切口与胸腔镜手术治疗肺癌的效果。方法选取2019年1月至2020年12月本院收治的160例肺癌患者作为研究对象,按照随机数字表法分为实验组与对照组,每组80例。对照组采用腋下小切口手术,实验组采用胸腔镜手术,比较两组围手术期指标、术后疼痛程度及并发症发生率。结果实验组手术操作时间、术后留管时间、住院时间均短于对照组,术中出血量、胸腔引流量少于对照组,差异有统计学意义(P<0.05)。两组视觉模拟评分法(VAS)评分组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:术后1、2 d,两组VAS评分均低于术后4 h,且术后2 d低于术后1 d,差异有统计学意义(P<0.05)。组间比较:术后4 h,两组VAS评分比较差异无统计学意义;术后1、2 d,实验组VAS评分均低于对照组,差异有统计学意义(P<0.05)。实验组并发症发生率为3.75%,低于对照组的15.00%,差异有统计学意义(P<0.05)。结论与腋下小切口手术治疗相比,胸腔镜手术治疗肺癌手术操作时间、住院时间及术后置管时间均较短,术中出血量和胸腔引流量均较少,还可减轻患者疼痛,减少并发症的发生,值得临床推广应用。Objective To investigate the effect of subaxillary small incision and thoracoscopy surgery in the treatment of lung cancer.Methods 160 patients with lung cancer admitted to our hospital from January 2019 to December 2020 were selected as the study subjects,they were divided into the experimental group and the control group according to the random number table method,with 80 cases in each group.The control group underwent subaxillary small incision surgery,while the experimental group underwent thoracoscopy surgery,the perioperative indicators,postoperative pain and the incidence of complication were compared between the two groups.Results The operation time,postoperative tube retention time and hospitalization times in the experimental group were shorter than those in the control group,the intraoperative bleeding volume and pleural drainage volume in the experimental group were less than those in the control group,and the differences were statistically significant(P<0.05).There was significant difference in visual analogue scale(VAS)scores between the two groups of group,time points and interaction(P<0.05).Comparison within group:at 1 and 2 d after surgery,the VAS scores of the two groups were lower than those at 4 h after surgery,and 2 d after surgery was lower than 1 d after surgery,and the differences were statistically significant(P<0.05).Comparison between groups:at 4 h after surgery,there was no statistically significant difference in VAS scores between the two groups;at 1 and 2 d after surgery,the VAS scores in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was 3.75%,which was lower than 15.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with subaxillary small incision surgery,thoracoscopy surgery in the treatment of lung cancer has shorter operation time,hospitalization times and postoperative catheter placement time,int

关 键 词：肺癌 腋下小切口手术 胸腔镜手术 疼痛程度 

分 类 号：R734.2[医药卫生—肿瘤]