单孔与传统多孔胸腔镜下肺叶切除术治疗肺癌的临床对比分析

发布时间：2018-05-20 08:47

本文选题：肺癌 + 单孔胸腔镜　；参考：《中国肿瘤临床》2017年09期

【摘要】：目的:回顾性分析并比较单孔胸腔镜下肺叶切除术(single-port video-assisted thoracoscopic surgery,SP-VATS)与多孔胸腔镜下肺叶切除术(multi-port video-assisted thoracoscopic surgery,MP-VATS)相关临床因素,探讨两种术式差异。方法:分析自2014年1月至2015年12月在天津医科大学肿瘤医院行手术治疗的肺癌患者522例,其中SP-VATS为83例,MP-VATS为439例,对其临床资料进行随访。比较两组患者的手术时间、术中出血量、淋巴结清扫站数与枚数、术后24 h疼痛视觉模拟评分量表(visual analog scale,VAS)评分,术后24 h胸引量及术后住院时间。结果:两组患者的性别、年龄、是否吸烟、肿瘤直径、TNM分期、病理类型、肿瘤位置及术后并发症等因素无显著性差异。手术相关因素中SP-VATS组手术时间长于MP-VATS组(P0.01);术后住院时间SP-VATS组短于MP-VATS组(P=0.011);SP-VATS组疼痛程度低于MP-VATS组(P=0.041);淋巴结清扫站数及枚数两组之间比较差异无统计学意义;术中出血量、术后24 h胸引量两组之间比较差异无统计学意义。结论:SP-VATS与MP-VATS相比,可以达到相同的手术效果,但手术操作难度较大,手术时间较长;有利于患者术后恢复,减轻患者术后疼痛程度,该术式具有较大的发展潜力。
[Abstract]:Objective: to retrospectively analyze and compare the clinical factors between single-port video-assisted thoracoscopic Surgeryus SP-VATS and multi-port video-assisted thoracoscopic Surgeryus MP-VATS under thoracoscopic surgery, and to explore the difference between the two methods. Methods: from January 2014 to December 2015, 522 patients with lung cancer underwent surgical treatment in the Cancer Hospital of Tianjin Medical University, including 83 patients with SP-VATS and 439 patients with MP-VATS. The clinical data were followed up. The time of operation, the amount of blood lost during operation, the number of lymph node dissection stations, the visual analog scale at 24 hours after operation, the amount of chest drainage 24 hours after operation and the time of hospitalization were compared between the two groups. Results: there were no significant differences in sex, age, smoking, TNM stage, pathological type, tumor location and postoperative complications between the two groups. The operative time in SP-VATS group was longer than that in MP-VATS group, the postoperative hospitalization time in SP-VATS group was shorter than that in MP-VATS group, and the pain degree in SP-VATS group was lower than that in MP-VATS group. There was no significant difference in chest drainage between the two groups 24 hours after operation. Conclusion compared with MP-VATS, SP-VATS can achieve the same surgical effect, but the operation is more difficult and the operation time is longer, which is beneficial to the recovery of the patients and the relief of postoperative pain. It has a great potential for development.
【作者单位】：天津医科大学肿瘤医院肺部肿瘤科国家肿瘤临床医学研究中心天津市肿瘤防治重点实验室天津市恶性肿瘤临床医学研究中心;
【基金】：国家自然科学基金项目(编号:8150101489)资助~~
【分类号】：R734.2

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