摘要
目的研究单操作孔电视胸腔根治术在治疗早期肺癌患者的有效性及安全性。方法将2011年5月-2013年12月期间我院收治的早期肺癌患者90例纳入研究对象,根据手术方法不同分为进行单操作孔胸腔镜手术的单孔组、双操作孔胸腔镜手术的双孔组、肋间切口手术的开放组,比较三组患者的手术情况、并发症例数以及肺功能。结果单孔组患者的手术时间(1.84±0.22)h、术后卧床时间(4.21±0.54)d、住院总时间(9.62±1.04)d、术中出血量(142.7±18.2)ml、术后引流量(132.8±17.5)ml、疼痛NRS评分(2.12±0.34)、发生肺感染和肺不张(10%)均明显低于开放组和双孔组;PEF、FEV1/FVC%(76.2±9.6、65.8±8.5)均明显高于开放组和双孔组。结论单操作孔电视胸腔根治术有助于减小手术创伤、促进术后恢复、减少术后并发症、改善肺功能,是治疗早期肺癌安全且有效的手术方法。
Objective To study the effect and safety of single utility port thoracoscopy radical surgery in treating patients with early lung cancer. Methods 90 patients with early lung cancer in our hospital were divided into the single utility port group given single utility port thoracoscopy surgery,the double holes group given double holes thoracoscopy surgery,and the open group given intercostal incision surgery. Then operation condition,complications cases and pulmonary function of the three groups were compared. Results The operation time（ 1. 84 ± 0. 22） h,postoperative bed time（ 4. 21 ± 0. 54） d,duration of hospital stay（ 9. 62 ± 1. 04） d,bleeding volume（ 142. 7 ±18. 2） ml,postoperative drainage volume（ 132. 8 ± 17. 5） ml,NRS score（ 2. 12 ± 0. 34）,lung infection and pulmonary atelectasis（ 10%） were significantly lower in the single utility port group than in the open group and the double holes group. The level of PEF,FEV1/ FVC%（ 76. 2 ± 9. 6,65. 8 ± 8. 5） were significantly higher in the single utility port group than in the open group and the double holes group. Conclusion Single utility port thoracoscopy radical surgery is effective and safe in the treatment of patients with early lung cancer for it can reduce operation wound,promote postoperative recovery,reduce complications and improve lung function.
出处
《临床肺科杂志》
2015年第4期630-633,共4页
Journal of Clinical Pulmonary Medicine
关键词
胸腔镜
早期肺癌
单操作孔
肺功能
thoracoscopy
early lung cancer
single utility port
pulmonary function
