中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2014年
16期
2948-2951
,共4页
陈康%马金山%努尔兰·阿汗
陳康%馬金山%努爾蘭·阿汗
진강%마금산%노이란·아한
肺肿瘤%胸腔镜%治疗结果%肺叶切除术
肺腫瘤%胸腔鏡%治療結果%肺葉切除術
폐종류%흉강경%치료결과%폐협절제술
Lung neoplasms%Thoracoscopes%Treatment outcome%Lobectomy resection operation
目的：观察杂交式单操作孔胸腔镜肺叶切除术治疗早期肺癌疗效。方法选择本院于2014年1～6月收治的早期非小细胞癌患者60例作为研究对象，均符合手术指征，回顾性分析其临床资料，根据手术方法分为两组，每组30例，观察组采取杂交式单操作孔胸腔镜肺叶切除术治疗，对照组采取单纯小切口手术治疗，观察两组患者手术一般情况、术后情况及并发症发生情况。结果观察组术中出血量、切口长度分别为（173.4±27.9）ml、（4.7±0.3）cm，均少于对照组（214.6±29.9）ml、（10.1±1.4）cm，P＜0.05。观察组术后1 d引流量、术后住院时间、术后1 d VAS评分分别为（369.2±47.3）ml、（9.9±1.1）d、（5.1±1.2）分，均优于对照组（423.6±49.1）ml、（12.7±1.2）d、（6.7±1.3）分，P＜0.05。两组术后带管时间比较无统计学差异（P＞0.05）。观察组并发症5例（16.7%），明显低于对照组13例（43.3%），χ2＝5.079，P＜0.05。结论杂交式单操作孔胸腔镜肺叶切除术治疗早期肺癌疗效较佳，创伤小，出血量小，恢复快，且安全，具有重要临床价值。
目的：觀察雜交式單操作孔胸腔鏡肺葉切除術治療早期肺癌療效。方法選擇本院于2014年1～6月收治的早期非小細胞癌患者60例作為研究對象，均符閤手術指徵，迴顧性分析其臨床資料，根據手術方法分為兩組，每組30例，觀察組採取雜交式單操作孔胸腔鏡肺葉切除術治療，對照組採取單純小切口手術治療，觀察兩組患者手術一般情況、術後情況及併髮癥髮生情況。結果觀察組術中齣血量、切口長度分彆為（173.4±27.9）ml、（4.7±0.3）cm，均少于對照組（214.6±29.9）ml、（10.1±1.4）cm，P＜0.05。觀察組術後1 d引流量、術後住院時間、術後1 d VAS評分分彆為（369.2±47.3）ml、（9.9±1.1）d、（5.1±1.2）分，均優于對照組（423.6±49.1）ml、（12.7±1.2）d、（6.7±1.3）分，P＜0.05。兩組術後帶管時間比較無統計學差異（P＞0.05）。觀察組併髮癥5例（16.7%），明顯低于對照組13例（43.3%），χ2＝5.079，P＜0.05。結論雜交式單操作孔胸腔鏡肺葉切除術治療早期肺癌療效較佳，創傷小，齣血量小，恢複快，且安全，具有重要臨床價值。
목적：관찰잡교식단조작공흉강경폐협절제술치료조기폐암료효。방법선택본원우2014년1～6월수치적조기비소세포암환자60례작위연구대상，균부합수술지정，회고성분석기림상자료，근거수술방법분위량조，매조30례，관찰조채취잡교식단조작공흉강경폐협절제술치료，대조조채취단순소절구수술치료，관찰량조환자수술일반정황、술후정황급병발증발생정황。결과관찰조술중출혈량、절구장도분별위（173.4±27.9）ml、（4.7±0.3）cm，균소우대조조（214.6±29.9）ml、（10.1±1.4）cm，P＜0.05。관찰조술후1 d인류량、술후주원시간、술후1 d VAS평분분별위（369.2±47.3）ml、（9.9±1.1）d、（5.1±1.2）분，균우우대조조（423.6±49.1）ml、（12.7±1.2）d、（6.7±1.3）분，P＜0.05。량조술후대관시간비교무통계학차이（P＞0.05）。관찰조병발증5례（16.7%），명현저우대조조13례（43.3%），χ2＝5.079，P＜0.05。결론잡교식단조작공흉강경폐협절제술치료조기폐암료효교가，창상소，출혈량소，회복쾌，차안전，구유중요림상개치。
ObjectiveTo observe the curative effect of hybrid type single aperture thoracoscopic lobectomy resection operation for treatment of early stage of lung cancer.Methods 60 cases of patients with early stage non-small cell carcinoma were selected and treated in the hospital from January 2014 to June 2014, all accorded with the operation indications and they were randomly divided into two groups with 30 cases in each group, the observation group adopted the treatment of hybrid type single aperture thoracoscopic lobectomy resection operation, the control group took a simple small incision operation treatment, to observe the situation in operation and postoperation and complications between two patients. ResultsTheamount of bleeding, the length of incisionin the observation group were (173.4±27.9)ml, (4.7±0.3)cm and were lower than the control group [(214.6±29.9)ml, (10.1±1.4)cm,P<0.05]. The drainage volume 1 d postoperation, postoperative hospital stay, VAS score 1 d postoperation of the observation group were (369.2±47.3)ml, (9.9±1.1)d, 5.1±1.2 and were more superior than the control group [(423.6±49.1)ml, (12.7±1.2)d, 6.7±1.3,P<0.05]. There was no difference in postoperative intubation time between the two groups(P>0.05).Complications were observed in 5 cases (16.7%) in observation group and significantly lower than the control group of 13 cases (43.3%),χ2=5.079,P<0.05.Conclusion The curative effect of hybrid type single aperture thoracoscopic lobectomy resection operation for treatment of early stage of lung cancer is better, and the method has little trauma, little bleeding, rapid recovery and is safe, so it has more important value.
