流域分析法在胸腔镜解剖性部分肺叶切除中的可行性研究  

Feasibility study of watershed analysis in thoracoscopic anatomical partial lobectomy

作　　者：宋静超[1] 姜功前[1] 王国磊[1] SONG Jingchao;JIANG Gongqian;WANG Guolei(Department of Thoracic Surgery,Henan Provincial Chest Hospital,Chest Hospital of Zhengzhou University,Henan Zhengzhou 450008,China)

机构地区：[1]河南省胸科医院郑州大学附属胸科医院胸外科,河南郑州450008

出　　处：《现代肿瘤医学》2025年第6期969-974,共6页Journal of Modern Oncology

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20230110)。

摘　　要：目的:探讨流域分析法在胸腔镜下部分肺叶切除中的可行性。方法:招募2023年10月至2024年3月在我院接受胸腔镜下部分肺叶切除的患者100例,年龄43~69岁。依据病变部位和手术方式的不同,按照随机数字表法,分为流域分析法下胸腔镜解剖性部分肺叶切除组(简称流域组)和胸腔镜下解剖性肺段切除组(简称肺段组),比较两组患者的一般资料和围手术期相关指标及术后并发症发生率。结果:流域组和肺段组在手术时间、术中出血量、切割闭合器钉仓数量方面差异有统计学意义(P<0.05)。两组在手术切缘距离、引流管留置时间方面差异无统计学意义(P>0.05)。流域组并发症发生率低于肺段组,差异有统计学意义(P<0.05)。结论:流域分析法在胸腔镜下部分肺叶切除中简化了手术操作流程,降低了并发症发生率,且科学合理。Objective:To investigate the feasibility of watershed analysis in thoracoscopic partial lobectomy.Methods:From October 2023 to March 2024,100 patients aged 43~69 years old who underwent thoracoscopic partial lobectomy in our hospital were enrolled.According to the lesion location and surgical method,the patients were divided into thoracoscopic anatomical partial lobectomy group(watershed group)and thoracoscopic anatomical segmentectomy group(segmentectomy group)according to the random number table method.The general data,perioperative related indicators and postoperative complications of the two groups were compared.Results:There were statistically significant differences in operation time,intraoperative blood loss and number of staple cartridges for the surgical stapler between watershed group and segmentectomy group(P<0.05).There was no significant difference in the surgical margin distance,the retention time of the drainage tube between the two groups(P>0.05).The complication rate of the watershed group was lower than that of the segmentectomy group,and the difference was statistically significant(P<0.05).Conclusion:The watershed analysis in thoracoscopic partial lobectomy simplifies the operation process,reduces the incidence of complications,which is scientific and reasonable.

关 键 词：流域分析法 胸腔镜 解剖性部分肺叶切除术 

分 类 号：R734.2[医药卫生—肿瘤]