胸腔镜手术下肺段切除术与肺楔形切除术对早期肺癌患者生存质量及预后的影响对比  

Comparison of the effects of thoracoscopic segmentectomy and wedge resection on the survival quality and prognosis of patients with early-stage lung cancer

作　　者：于杨 张秋健 袁继宝 刘占 Yu Yang;Zhang Qiujian;Yuan Jibao;Liu Zhan(Chengwu County People's Hospital,Heze,Shandong 274200,China)

机构地区：[1]山东省成武县人民医院,山东菏泽274200

出　　处：《首都食品与医药》2025年第3期48-51,共4页Capital Food Medicine

摘　　要：目的比较胸腔镜手术下肺段切除术与肺楔形切除术对早期肺癌患者生存质量及预后的影响.方法在2022年1月-2024年6月,从本院选取了78名被诊断为早期肺癌的患者进行研究,采用随机数表法分组,每组39例.常规组接受胸腔镜下肺段切除术治疗,探究组则接受胸腔镜肺楔形切除术治疗.对比两组手术相关指标、呼吸功能、生存质量及并发症发生率.结果术后,探究组引流量少于常规组,住院时间短于常规组(P<0.05).对比两组患者在术中的出血量、手术所需时间以及淋巴结清扫的个数,无显著差异(P>0.05).治疗后,探究组呼吸功能优于常规组(P<0.05).术后,探究组生存质量高于常规组(P<0.05).探究组的并发症发生率低于常规组(P<0.05).结论胸腔镜肺楔形切除术相较于胸腔镜下肺段切除术,在早期肺癌患者的治疗中能够减少术后引流量、缩短住院时间,同时改善患者呼吸功能和生存质量,并降低并发症发生率.Objective To compare the effects of thoracoscopic surgical segmental lung resection and lung wedge resection on the survival quality and prognosis of patients with early stage lung cancer.Methods From January 2022 to June 2024,78 patients diagnosed with early stage lung cancer were selected from our hospital for the study,and were grouped into 39 cases in each group using the random number table method.The conventional group was treated with thoracoscopic segmental lung resection,while the exploratory group was treated with thoracoscopic lung wedge resection.Surgery-related indexes,respiratory function,survival quality and complication rate were compared between the two groups.Results Postoperatively,the induced flow in the exploratory group was less than that in the conventional group,and the hospital stay was shorter than that in the conventional group(P<0.05).Comparing the intraoperative bleeding,the time required for surgery and the number of lymph nodes cleared in the two groups,there was no difference(P>0.05).After treatment,the respiratory function of the exploratory group was better than that of the conventional group(P<0.05).After surgery,the quality of survival in the exploratory group was higher than that in the conventional group(P<0.05).The complication rate of the exploratory group was lower than that of the conventional group(P<0.05).Conclusion Thoracoscopic lung wedge resection can reduce postoperative drainage and shorten hospitalisation time,as well as improve patients'respiratory function and quality of survival,and reduce the incidence of complications compared with thoracoscopic segmental resection in the treatment of patients with early-stage lung cancer.

关 键 词：胸腔镜手术 肺段切除术 肺楔形切除术 早期肺癌 生存质量 预后 

分 类 号：R734.2[医药卫生—肿瘤]