单孔胸腔镜下肺癌根治术对早期肺癌患者的临床效果研究  

Clinical Study on the Efficacy of Single port Thoracoscopic Radical Surgery for Early Lung Cancer Patients

作　　者：庄番[1] 庄玉璠 徐敬端[1] ZHUANG Fan;ZHUANG Yufan;XU Jingduan(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,471000)

机构地区：[1]河南科技大学第一附属医院,471000 [2]北京中医药大学东直门医院洛阳医院,471000

出　　处：《实用癌症杂志》2025年第3期489-491,共3页The Practical Journal of Cancer

摘　　要：目的 探讨单孔胸腔镜下肺癌根治手术治疗早期肺癌患者的效果。方法 76例早期肺癌患者,随机分成两组,均38例。对照组行三孔胸腔镜下肺癌根治术,观察组行单孔胸腔镜下肺癌根治术。比较两组手术效果。结果 观察组术中出血量为(118.41±9.25)ml,少于对照组的(129.87±11.36)ml,手术时间为(161.58±15.73)min,长于对照组的(152.41±12.59)min,下床活动时间为(21.46±5.30)h、住院时间为(7.05±1.16)d,短于对照组的(27.32±6.48)h、(9.91±1.86)d,并发症发生率为5.26%(2/38),低于对照组的21.05%(8/38);且术后的各炎症因子水平低于对照组,各肺功能指标高于对照组(P<0.05)。结论 单孔胸腔镜下肺癌根治术虽然会延长手术时间,但更能够减轻创伤,引起的炎性反应更轻,对早期肺癌患者肺功能损伤更小,有助于患者术后快速恢复,且无严重并发症。Objective To explore the effect of single port thoracoscopic radical surgery for early lung cancer patients.Methods 76 patients with early lung cancer were randomly divided into 2 groups,with 38 cases in each group.The control group underwent three port thoracoscopic radical resection of lung cancer,while the observation group underwent single port thoracoscopic radical resection of lung cancer.Compare the surgical outcomes of the 2 groups.Results The intraoperative blood loss of the observation group was(118.41±9.25)ml,which was less than that of the control group(129.87±11.36)ml.The operation time was(161.58±15.73)min,which was longer than that of the control group(152.41±12.59)min.The ambulation time was(21.46±5.30)h,and the hospitalization time was(7.05±1.16)d,which was shorter than that of the control group(27.32±6.48)h and(9.91±1.86)d.The incidence of complications was 5.26%(2/38),which was lower than that of the control group(21.05%(8/38));And the levels of various inflammatory factors after surgery were lower than those in the control group,and the lung function indicators were higher than those in the control group(P<0.05).Conclusion Although single port thoracoscopic radical surgery for lung cancer may prolong the operation time,it can reduce trauma,cause less inflammatory reactions,cause less damage to lung function in early lung cancer patients,help patients recover quickly after surgery,and have no serious complications.

关 键 词：早期肺癌 单孔胸腔镜下肺癌根治手术 并发症 

分 类 号：R734.2[医药卫生—肿瘤]