早期非小细胞肺癌以单孔胸腔镜亚肺叶切除术与三孔胸腔镜亚肺叶切除术治疗的效果对比  

Comparison of Efficacy Between Uniportal and Three-Port Thoracoscopic Sublobar Resection in the Treatment of Early-Stage Non-Small Cell Lung Cancer

作　　者：雷涛 LEI Tao(Department of Cardiothoracic Surgery,970th Hospital of the PLA Joint Logistics Support Force,Yantai 264002,China)

机构地区：[1]联勤保障部队第九七〇医院心胸外科,山东烟台264002

出　　处：《延边大学医学学报》2025年第3期48-50,共3页Journal of Medical Science Yanbian University

摘　　要：目的:比较对早期非小细胞肺癌患者使用单孔胸腔镜亚肺叶切除术与三孔胸腔镜亚肺叶切除术进行治疗的效果。方法:选取2021年11月—2024年11月联勤保障部队第九七〇医院收治的200例早期非小细胞肺癌患者参与研究。按照随机数表法分为对照组、研究组,各100例。对照组使用三孔胸腔镜亚肺叶切除术进行治疗,研究组使用单孔胸腔镜亚肺叶切除术进行治疗。对比两组术后24 h、48 h的视觉模拟评分法(VAS)评分、手术情况、术后并发症发生率。结果:研究组术后24 h及48 h的VAS评分低于对照组(P<0.05);研究组术中切口长度短于对照组(P<0.05),术中失血量低于对照组(P<0.05);两组淋巴结清扫数目、术后并发症发生率相比,差异无统计学意义(P>0.05)。结论:与三孔胸腔镜亚肺叶切除术相比,单孔胸腔镜亚肺叶切除术治疗早期非小细胞肺癌的创伤小,患者术后疼痛程度轻,身体恢复快。Objective:To compare the efficacy of uniportal versus three-port thoracoscopic sublobar resection in treating patients with early-stage non-small cell lung cancer(NSCLC).Methods:A total of 200 patients with early-stage NSCLC admitted to the Department of Thoracic Surgery at the 970th Hospital from November 2021 to November 2024 were enrolled in this study.They were randomly divided into a control group and a study group(100 patients each)using a random number table.The control group underwent three-port thoracoscopic sublobar resection,while the study group received uniportal thoracoscopic sublobar resection.Postoperative pain[assessed via the Visual Analog Scale(VAS)at 24 h and 48 h],surgical outcomes,and complication rates were compared between the two groups.Results:The study group exhibited significantly lower VAS scores at 24 h and 48 h postoperatively compared to the control group(P<0.05).The study group also demonstrated shorter incision lengths and reduced intraoperative blood loss(P<0.05).However,there were no statistically significant differences in the number of lymph nodes dissected or postoperative complication rates between the two groups(P>0.05).Conclusion:Compared with three-port thoracoscopic sublobar resection,uniportal thoracoscopic sublobar resection for early-stage NSCLC is less invasive,results in milder postoperative pain,and facilitates faster recovery.

关 键 词：非小细胞肺癌 早期 胸腔镜亚肺叶切除术 单孔 三孔 并发症 

分 类 号：R734.2[医药卫生—肿瘤]