全胸腔镜下解剖性右肺上叶切除术三孔法和单孔法的对比研究

发布时间：2018-01-16 03:14

本文关键词：全胸腔镜下解剖性右肺上叶切除术三孔法和单孔法的对比研究　出处：《苏州大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:通过对比全胸腔镜下解剖性右肺上叶切除术三孔法和单孔法在术中及术后各项指标来探讨两种手术方式在肺癌的微创治疗中的应用。方法:选取张家港市第一人民医院2013年1月到2014年12月之间收治的30例全胸腔镜下解剖性右肺上叶切除术患者,根据操作孔数目随机分为两组。三孔法组(18例)和单孔法组(12例),比较两组在手术时间、术中出血量、淋巴结清扫个数、术后胸引总量、引流管留置时间和术后住院天数等指标上的差异。结果:两组手术时间、术中出血量、术后住院、淋巴结清扫个数、术后胸引总量、引流管留置时间比较,差异无统计学意义(P0.05)。结论:本项研究显示解剖性右肺上叶切除术单孔法手术在各项观察指标上与三孔法相等相当,且不影响纵隔淋巴结的清除率,也不延长术后住院时间,可以在临床中进一步研究。但由于本文病例数量相对较少,希望在积累更多相关病例后进行更加深入地研究。有条件的医院在临床实践中,在保证患者安全的前提下,可有目的的选择适合的肺癌患者灵活应用全胸腔镜下解剖性右肺上叶切除术的三孔法或单孔法,进一步促进肺癌微创治疗的普及和发展。
[Abstract]:Objective: to explore the application of the two operative methods in the minimally invasive treatment of lung cancer by comparing the three hole and one hole methods of dissecting upper lobectomy under total thoracoscope in intraoperative and postoperative indexes. Thirty cases of total thoracoscopic dissecting right upper lobectomy were selected from January 2013 to December 2014 in the first people's Hospital of Zhangjiagang City. According to the number of operating foramen, the patients were randomly divided into two groups: the three-hole group (n = 18) and the single-hole group (n = 12). The operative time, intraoperative bleeding, lymph node dissection and total postoperative chest drainage were compared between the two groups. Results: operation time, intraoperative bleeding volume, postoperative hospitalization, number of lymph nodes dissection, total chest drainage after operation, and drainage tube indwelling time were compared between the two groups. Conclusion: this study shows that the anatomic right lobectomy with single hole method is equivalent to the three-hole method in each observation index. And does not affect the mediastinal lymph node clearance rate and does not prolong the postoperative hospital stay, can be further studied in clinical, but because the number of cases in this article is relatively small. Hope to accumulate more relevant cases after a more in-depth study. Conditional hospitals in clinical practice, in the premise of ensuring the safety of patients. It is possible to select suitable lung cancer patients with flexible three-hole or single-hole approach of dissecting right upper lobectomy under total thoracoscope to further promote the popularization and development of minimally invasive treatment for lung cancer.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R734.2

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