单孔与三孔胸腔镜肺叶切除术的临床疗效对比

发布时间：2018-12-30 13:03

【摘要】：目的对比单孔胸腔镜肺叶切除术(Uniportal VATS)与三孔胸腔镜肺叶切除术(3-portal VATS)治疗肺癌的临床疗效。方法肺癌患者行单孔胸腔镜肺叶切除术45例为单孔组,肺癌患者行三孔胸腔镜肺叶切除术53例为三孔组,比较2组患者的手术时间、术中出血量、淋巴结清扫数、切口长度、术后拔管时间、术后疼痛评分、术后住院天数、并发症发生率及患者满意度评分等。结果单孔组与三孔组术中出血量[(128.75±18.32)m L vs(129.15±17.69)m L]、淋巴结清扫数[(13.33±1.05)枚vs(13.12±1.38)枚]、术后拔管时间[(4.90±0.75)d vs(4.75±0.70)d]、术后住院天数[(7.52±1.16)d vs(7.55±1.10)d]、并发症发生率(20.0%vs 20.8%)等比较差异均无统计学意义。单孔组在切口长度[(5.36±0.22)cm vs(7.44±0.35)cm]、术后第1天疼痛评分[6.47±0.54 vs 6.86±0.52]、第3天疼痛评分[3.59±0.29 vs4.05±0.25]、患者满意度评分[91.03±2.62 vs 88.35±2.97]等方面均优于三孔组(均P0.05),单孔组的手术时间较三孔组[(143.81±17.97)min vs(130.11±15.03)min]略有延长(P0.05)。结论单孔胸腔镜肺叶切除术治疗肺癌安全、有效,较传统三孔胸腔镜肺叶切除术创伤更小,疼痛更轻,患者满意度更高。
[Abstract]:Objective to compare the clinical effects of single-hole thoracoscopic lobectomy (Uniportal VATS) and three-hole thoracoscopic lobectomy (3-portal VATS) in the treatment of lung cancer. Methods Forty-five patients with lung cancer underwent thoracoscopic lobectomy and 53 patients with lung cancer underwent three-hole thoracoscopic lobectomy. The operative time, intraoperative bleeding, lymph node dissection and incision length were compared between the two groups. Postoperative extubation time, postoperative pain score, postoperative hospital stay, complication rate and patient satisfaction score. Results the intraoperative blood loss (128.75 卤18.32) m L vs (129.15 卤17.69) m L) and lymph node dissection (13.33 卤1.05) vs were (13.12 卤1.38) in the single hole group and the third hole group. Postoperative extubation time [(4.90 卤0.75) d vs (卤0.70) d], postoperative hospitalization days [(7.52 卤1.16) d vs (7.55 卤1.10) days]; There was no significant difference in the incidence of complications (20.0%vs 20. 8%). In the single hole group, the incision length [(5.36 卤0.22) cm vs (7.44 卤0.35) cm], the pain score on the first day after operation [6.47 卤0.54 vs 6.86 卤0.52] and the pain score on the 3rd day [3.59 卤0.29 vs4.05 卤0.25]. The patient satisfaction score [91.03 卤2.62 vs 88.35 卤2.97] was better than that of the three-hole group (P0.05), and the operation time of the single-hole group [(143.81 卤17.97) min vs (130.11 卤15.03) min] was slightly longer than that of the three-hole group (P0.05). Conclusion One-hole thoracoscopic lobectomy is safe and effective in the treatment of lung cancer. Compared with traditional three-hole thoracoscopic lobectomy, the trauma is less, the pain is lighter, and the patient satisfaction is higher.
【作者单位】：天津医科大学研究生院;天津市胸科医院胸外科;
【分类号】：R655.3

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