探讨胸腔镜下肺段切除术与肺楔形切除术对早期肺癌患者肺功能及复发率的影响  

To Investigate the Effects of Thoracoscopic Segmental Resection and Wedge Resection on Lung Function and Recurrence Rate of Patients with Early Lung Cancer

作　　者：黄灿华 蔡华新 陈思潮 吴燕煌 HUANG Canhua;CAI Huaxin;CHEN Sichao;WU Yanhuang(Department of Thoracic External Urology,Nan'an Hospital of Fujian Province,Nan'an,Fujian,362300,China)

机构地区：[1]福建省南安市医院胸外泌尿外科,福建南安362300

出　　处：《中外医疗》2024年第33期56-59,共4页China & Foreign Medical Treatment

摘　　要：目的分析早期肺癌患者采用胸腔镜下肺段切除术与肺楔形切除术治疗对肺功能及复发率的影响。方法随机选取2021年4月—2023年4月福建省南安市医院收治的80例早期肺癌患者为研究对象,均进行单孔胸腔镜下手术,依据切除方式不同分为两组,每组40例,楔形组行单孔胸腔镜肺楔形切除术,肺段组行单孔胸腔镜肺段切除术,术后随访1年,对比两组患者手术相关指标,术前及术后3个月肺功能指标,术后并发症发生率及复发率。结果楔形组手术时间、留管时间、住院时间均短于肺段组,术中出血量、胸腔引流量均少于肺段组,术后2 d疼痛程度评分低于肺段组,差异有统计学意义(P均<0.05)。楔形组术后3个月肺功能指标水平优于肺段组,差异有统计学意义(P<0.05)。两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。术后随访1年,肺段组复发率为2.50%(1/40),楔形组复发率为7.50%(3/40),差异无统计学意义(χ^(2)=0.263,P>0.05)。结论相比于胸腔镜下肺段切除术,早期肺癌患者行肺楔形切除术,围手术期相关指标更佳,且对肺功能影响较小,预后效果理想。Objective To analyze the effects of thoracoscopic segmental resection and wedge resection on lung function and recurrence rate in patients with early lung cancer.Methods A total of 80 patients with early lung cancer treated in Nan 'an Hospital of Fujian Province from April 2021 to April 2023 were randomly selected as the study subjects,all of whom underwent single-aperture thoracoscopic surgery.They were divided into two groups according to different resection methods,with 40 cases in each group.The wedge group underwent single-aperture thoracoscopic wedge resection and the lung segment group underwent single-aperture thoracoscopic segmental resction,and were followed up for 1 year.Operation-related indexes,pulmonary function indexes before operation and 3 months after operation,postoperative complication rate and recurrence rate were compared between the two groups.Results The operative time,catheter retention time and hospital stay of the wedge group were shorter than those of the lung segment group,the intraoperative blood loss and thoracic drainage volume were lower than those of the lung segment group,and the score of pain degree 2 days after surgery was lower than that of the lung segment group,and the differences were statistically significant(all P<0.05).The pulmonary function index of the wedge group was better than that of the lung segment group 3 months after surgery,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).After 1 year follow-up,the recurrence rate was 2.50%(1/40) in the pulmonary segment group and 7.50%(3/40) in the wedge group,and the difference was not statistically significant(χ^(2)=0.263,P>0.05).Conclusion Compared with thoracoscopic segmental resection,wedge resection of lung in early lung cancer patients has better perioperative indicators,less impact on lung function,and ideal prognostic effect.

关 键 词：早期肺癌 肺功能 胸腔镜 肺段切除术 肺楔形切除术 复发率 

分 类 号：R734[医药卫生—肿瘤]