分析单孔全胸腔镜解剖性肺段切除术在早期非小细胞肺癌中的应用效果  

Application Effect of Uin-portal Complete Video-assisted Thoracoscopic Lobectomy Anatomical Segpectomy in Early Non-small Cell Lung Cancer

作　　者：徐守如 郁松 黄继超[1] XU Shouru;YU Song;HUANG Jichao(Department of Thoracic and Cardiac Surgery,Shuyang County Hospital of Traditional Chinese Medicine,Shuyang)

机构地区：[1]沭阳县中医院胸心外科,江苏沭阳223600

出　　处：《中外医疗》2024年第23期47-50,共4页China & Foreign Medical Treatment

摘　　要：目的探究单孔全胸腔镜(complete video-assisted thoracoscopic lobectomy,cVATS)解剖性肺段切除术治疗早期非小细胞肺癌(non-small cell lung cancer,NSCLC)的效果。方法方便选取2021年1月—2023年12月沭阳县中医院收治的86例NSCLC患者为研究对象,依据治疗方法分为对照组(n=43)与观察组(n=43),分别给予单孔cVATS解剖性肺叶切除术治疗和单孔cVATS解剖性肺段切除术治疗。比较两组手术指标、肺功能、临床疗效及并发症发生情况。结果观察组术中出血量、术后引流量少于对照组,手术时间更长,拔管及住院时间更短,差异有统计学意义(P均<0.05)。术后,观察组肺功能指标优于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为93.02%(40/43),高于对照组的72.09%(31/43),差异有统计学意义(χ^(2)=6.541,P<0.05)。观察组并发症总发生率为4.65%(2/43),低于对照组的18.60%(8/43),差异有统计学意义(χ^(2)=4.074,P<0.05)。结论经单孔cVATS解剖型肺段切除术治疗有效减轻患者肺组织损伤,且出血量和并发症较少,可促进NSCLC患者尽早康复,效果显著。Objective To explore the effect of Uin-portal complete video-assisted thoracoscopic lobectomy(cVATS)anatomical segmentectomy in the treatment of early non-small cell lung cancer(NSCLC).Methods A total of 86 pa-tients with NSCLC admitted to Shuyang County Hospital of Traditional Chinese Medicine from January 2021 to De-cember 2023 were conveniently selected as the research objects.According to the treatment methods,they were di-vided into control group(n=43)and observation group(n=43),which were treated with uin-portal cVATS pulmonary lobectomy and uin-portal cVATS anatomical segmentectomy,respectively.The surgical indexes,lung function,clini-cal efficacy and complications were compared between the two groups.Results The intraoperative blood loss and post-operative drainage volume in the observation group were less than those in the control group,the operation time was longer,the extubation and hospitalization time were shorter,and the differences were statistically significant(all P<0.05).After operation,the lung function index of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 93.02%(40/43),which was higher than 72.09%(31/43)of the control group,and the difference was statistically signifi-cant(χ^(2)=6.541,P<0.05).The total incidence of complications in the observation group was 4.65%(2/43),which was lower than 18.60%(8/43)in the control group,and the difference was statistically significant(χ^(2)=4.074,P<0.05).Conclusion The treatment of uin-portal cVATS anatomical segmentectomy can effectively reduce the lung tissue in-jury of patients,and the amount of bleeding and complications are less,which can promote the early recovery of NSCLC patients.

关 键 词：早期非小细胞肺癌 单孔全胸腔镜解剖型肺段切除术 肺功能 并发症 住院时间 

分 类 号：R734.2[医药卫生—肿瘤]