单操作孔与传统多操作孔胸腔镜手术治疗老年孤立性肺结节的疗效比较  

Efficacy comparison of single-port and conventional multiport thoracoscopic surgery in elderly patients with solitary pulmonary nodules

作　　者：杨斌[1] 孙朋[1] 赵海龙 郑凤长 YANG Bin;SUN Peng;ZHAO Hai-long(Tumor Hospital of Gansu Province,Lanzhou 730050,China)

机构地区：[1]甘肃省肿瘤医院,730050 [2]不详

出　　处：《中国现代药物应用》2023年第24期44-46,共3页Chinese Journal of Modern Drug Application

摘　　要：目的研究老年孤立性肺结节患者采用单操作孔与传统多操作孔胸腔镜手术治疗的效果。方法78例老年孤立性肺结节患者,随机分为对照组与实验组,每组39例。对照组患者接受传统多操作孔胸腔镜手术,实验组患者接受单操作孔胸腔镜手术。比较两组患者手术指标(手术出血量、手术时间、恢复下床活动时间、住院时间)及并发症发生情况。结果实验组手术出血量(142.36±15.36)ml少于对照组的(209.65±14.27)ml,手术时间(141.58±8.25)min、恢复下床活动时间(59.86±8.75)h、住院时间(8.51±1.21)d短于对照组的(165.69±8.37)min、(70.69±8.59)h、(13.12±3.35)d,差异有统计学意义(P<0.05)。实验组并发症发生率5.13%低于对照组的20.51%,差异有统计学意义(P<0.05)。结论在针对老年孤立性肺结节患者进行手术时,采用单操作孔胸腔镜手术的效果优于传统多操作孔胸腔镜手术,其具有良好的应用价值,值得进行进一步的推广。Objective To study the effect of single-port and conventional multiport thoracoscopic surgery in elderly patients with solitary pulmonary nodules.Methods A total of 78 elderly patients with solitary pulmonary nodules were randomly divided into a control group and an experimental group,with 39 cases in each group.The control group underwent conventional multiport thoracoscopic surgery,while the experimental group underwent single-port thoracoscopic surgery.The surgical indexes(amount of blood loss,operative time,time to ambulation and hospital stay)and complications were compared between the two groups.Results The amount of blood loss of(142.36±15.36)ml in the experimental group was less than that of(209.65±14.27)ml in the control group;the experimental group had operative time of(141.58±8.25)min,time to ambulation of(59.86±8.75)h and hospital stay of(8.51±1.21)d,which were shorter than those of(165.69±8.37)min,(70.69±8.59)h and(13.12±3.35)d in the control group;the differences were statistically significant(P<0.05).The complication rate of 5.13%in the experimental group was lower than that of 20.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion For elderly patients with solitary pulmonary nodules,the effect of single-port thoracoscopic surgery is better than that of conventional multiport thoracoscopic surgery,which has good application value and is worthy of further promotion.

关 键 词：胸腔镜手术 多操作孔 单操作孔 孤立性肺结节 

分 类 号：R655.3[医药卫生—外科学]