应用单孔胸腔镜手术治疗肺结节的临床效果  

Clinical Effect of Single Port Thoracoscopic Surgery for the Treatment of Pulmonary Nodules

作　　者：徐磊 张佑民[1] 尚曦[1] 高钰[1] 林德重 崔静 邢相帅 李杨杨 XU Lei;ZHANG Youmin;SHANG Xi;GAO Yu;LIN Dezhong;CUI Jing;XING Xiangshuai;LI Yangyang(Department of Thoracic Surgery,Rizhao Traditional Chinese Medicine Hospital,Shandong Province,Rizhao Shandong 276800,China;Department of Rheumatology and Nephropathy,Rizhao Traditional Chinese Medicine Hospital,Shandong Province,Rizhao Shandong 276800,China)

机构地区：[1]山东省日照市中医医院胸外科,山东日照276800 [2]山东省日照市中医医院风湿肾病科,山东日照276800

出　　处：《中国卫生标准管理》2024年第22期93-96,共4页China Health Standard Management

基　　金：山东省中医药科技项目(2020Q108)。

摘　　要：目的分析肺结节采用单孔胸腔镜手术治疗的临床效果。方法选取2021年1月—2023年1月在山东省日照市中医医院胸外科接受治疗的60例肺结节患者为研究对象。根据随机数字表法对患者进行分组,对比组(n=30)应用三孔胸腔镜术式进行治疗;研究组(n=30)应用单孔胸腔镜手术进行治疗。分析2组治疗效果。结果研究组手术时长为(159.63±12.33)min,长于对比组的(143.26±15.27)min;研究组术后引流管拔除时间为(2.81±0.42)d,短于对比组的(4.31±0.59)d;研究组术中出血量、术后3 d疼痛评分分别为(50.14±8.46)mL、(4.03±0.75)分,均低于对比组的(55.67±10.38)mL、(5.45±1.02)分,差异有统计学意义(P<0.05)。研究组术后并发症总发生率为6.67%,低于对比组的26.67%,差异有统计学意义(P<0.05)。研究组治疗总满意度为96.67%,高于对比组的73.33%,差异有统计学意义(P<0.05)。结论单孔胸腔镜手术治疗肺结节有利于患者术后恢复,手术安全性较高。Objective To analyze the clinical effect of single port thoracoscopic surgery for the treatment of pulmonary nodules.Methods A total of 60 patients with pulmonary nodules who received treatment in the department of thoracic surgery,Rizhao Traditional Chinese Medicine Hospital,Shandong Province from January 2021 to January 2023 were selected as the study objects.The patients were divided into groups according to random number table method.The control group(n=30)was treated with three port thoracoscopic surgery.The study group(n=30)was treated with single port thoracoscopic surgery.The therapeutic effect of 2 groups was analyzed.Results The operation time of the study group was(159.63±12.33)min,which was longer than(143.26±15.27)min of the control group,the time of drainage tube removal of the study group was(2.81±0.42)days,which was shorter than(4.31±0.59)days of the control group,the intraoperative blood loss and postoperative pain score at 3 days of the study group were(50.14±8.46)mL and(4.03±0.75)points,respectively,which were lower than(55.67±10.38)mL and(5.45±1.02)points of the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications of the study group was 6.67%,which was lower than 26.67%of the control group,the difference was statistically significant(P<0.05).The total satisfaction of the study group was 96.67%,which was higher than 73.33%of the control group,the difference was statistically significant(P<0.05).Conclusion Single port thoracoscopic surgery for pulmonary nodules is beneficial to the postoperative recovery of patients,and has high surgical safety.

关 键 词：单孔 胸腔镜 手术治疗 肺结节 临床疗效 应用价值 

分 类 号：R563[医药卫生—呼吸系统]