| 洪英财,周海榆,杨泓,等.单孔与两孔法胸腔镜治疗肺癌的手术疗效及预后比较[J].安徽医药,2018,22(11):2156-2158. |
| 单孔与两孔法胸腔镜治疗肺癌的手术疗效及预后比较 |
| Comparison of surgical outcomes and prognosisbetween thoracoscopic single and two holes in the treatment of lung cancer |
| 投稿时间：2016-12-24 |
| DOI： |
| 中文关键词: 近距离两孔胸腔镜 单孔胸腔镜 肺癌 |
| 英文关键词: Close-range two-hole thoracoscopy Single-hole thoracoscopy Lung cancer |
| 基金项目: |
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| 摘要点击次数: 1935 |
| 全文下载次数: 624 |
| 中文摘要: |
| 目的 对比不同术式对肺癌患者的疗效及预后。方法 选取深圳市人民医院2014年1月至2015年1月期间收治的141例肺癌患者,依据手术方式差异分为单孔组和两孔组,对比两组疗效及预后效果。结果 两孔组手术时间(164.8±65.7)min、失血量(84.1±16.9)mL、胸管留置时间(4.2±1.8)d、前3 d总引流量(660.8±232.7)mL、术后住院时间(8.2±2.3)d、住院费用(59.9±12.3)千元,两孔组手术时间明显少于单孔组(t=3.698,P<0.05)；组间胸管留置与术后住院时间、失血量、前3 d总引流量及手术费用均差异无统计学意义(t=0.284、0.273、0.837、0.528、1.155,P＞0.05)。两孔组并发症总发生率为8例(11.26%),显著低于单孔组18例(25.71%),差异有统计学意义(χ2=4.89,P<0.05)；两孔组淋巴清扫数(15.6±4.3)个,显著低于单孔组(20.4±6.0)个,差异有统计学意义(t=5.466,P<0.05)；两孔组术后3 d疼痛评分(24.4±5.9)分、术后1个月疼痛评分(15.0±3.2)分、术后3个月疼痛评分(5.1±2.5)分、术后6个月疼痛评分(2.9±0.6)分,与单孔组比较差异无统计学意义(t=1.310、1.061、0.212、0.451,P＞0.05)。结论 临床予以肺癌患者近距离两孔胸腔镜下肺癌手术治疗,相较于单孔法而言,能够降低手术对患者的伤害,且并发症率更少和更安全可靠,具有临床推广价值。 |
| 英文摘要: |
| Objective To compare the efficacy and prognosis of different surgical procedures in patients with lung cancer.Methods A total of 141 patients with lung cancer admitted to Shenzhen People's Hospital from January 2014 to January 2015 were enrolled.The patients were assigned into single-hole group and two-hole group according to the different surgical methods.The efficacy and prognosis of the two groups were compared.Results The results showed that the operation time (164.8±65.7) min,blood loss (84.1±16.9) mL,chest tube indwelling time (4.2±1.8) d,total drainage volume (660.8±232.7) mL,postoperative hospital stay (8.2±2.3) d,and hospitalization expenses (59.9±12.3) thousand yuan.It can be seen that the operation time of the two-hole group was significantly shorter than that of the single-hole group (t=3.698,P<0.05).There were no statistically significant differences in the chest tube indwelling and postoperative hospital stay,blood loss,and the first 3-day total drainage volume and surgical cost (t=0.284,0.273,0.837,0.528,1.155,P>0.05).The total incidence of complications in the two-hole group was 11.26% (8 cases),which was significantly lower than that in the single-hole group (18.71%),and the difference was statistically significant (χ2=4.89,P<0.05).The number of lymphatic dissection in the two-hole group (15.6±4.3) was significantly lower than that in the single hole group (20.4±6.0),and the difference was statistically significant (t=5.466,P<0.05).Pain scores of the first 3-day,the first month,the third month,and the sixth months after surgery in the two-hole group were (24.4±5.9),(15.0±3.2),(5.1±2.5) and (2.9±0.6),respectively,there were no statistically significant differences between the two groups (t=1.310,1.061,0.212,0.451,P>0.05).Conclusion The clinical treatment of lung cancer patients with close-range two-hole thoracoscopic lung cancer surgery can reduce the injury to the patients compared with the single-hole method,which is safe and reliable with lower complication rate,thus it has clinical promotion value. |
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