临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
4期
630-632,633
,共4页
胸腔镜%早期肺癌%单操作孔%肺功能
胸腔鏡%早期肺癌%單操作孔%肺功能
흉강경%조기폐암%단조작공%폐공능
thoracoscopy%early lung cancer%single utility port%pulmonary function
目的：研究单操作孔电视胸腔根治术在治疗早期肺癌患者的有效性及安全性。方法将2011年5月-2013年12月期间我院收治的早期肺癌患者90例纳入研究对象，根据手术方法不同分为进行单操作孔胸腔镜手术的单孔组、双操作孔胸腔镜手术的双孔组、肋间切口手术的开放组，比较三组患者的手术情况、并发症例数以及肺功能。结果单孔组患者的手术时间(1．84±0．22)h、术后卧床时间(4．21±0．54)d、住院总时间(9．62±1．04)d、术中出血量(142．7±18．2)ml、术后引流量(132．8 ±17．5)ml、疼痛NRS评分(2．12± 0．34)、发生肺感染和肺不张(10%)均明显低于开放组和双孔组；PEF、FEV1/FVC%(76．2± 9．6、65．8 ± 8．5)均明显高于开放组和双孔组。结论单操作孔电视胸腔根治术有助于减小手术创伤、促进术后恢复、减少术后并发症、改善肺功能，是治疗早期肺癌安全且有效的手术方法。
目的：研究單操作孔電視胸腔根治術在治療早期肺癌患者的有效性及安全性。方法將2011年5月-2013年12月期間我院收治的早期肺癌患者90例納入研究對象，根據手術方法不同分為進行單操作孔胸腔鏡手術的單孔組、雙操作孔胸腔鏡手術的雙孔組、肋間切口手術的開放組，比較三組患者的手術情況、併髮癥例數以及肺功能。結果單孔組患者的手術時間(1．84±0．22)h、術後臥床時間(4．21±0．54)d、住院總時間(9．62±1．04)d、術中齣血量(142．7±18．2)ml、術後引流量(132．8 ±17．5)ml、疼痛NRS評分(2．12± 0．34)、髮生肺感染和肺不張(10%)均明顯低于開放組和雙孔組；PEF、FEV1/FVC%(76．2± 9．6、65．8 ± 8．5)均明顯高于開放組和雙孔組。結論單操作孔電視胸腔根治術有助于減小手術創傷、促進術後恢複、減少術後併髮癥、改善肺功能，是治療早期肺癌安全且有效的手術方法。
목적：연구단조작공전시흉강근치술재치료조기폐암환자적유효성급안전성。방법장2011년5월-2013년12월기간아원수치적조기폐암환자90례납입연구대상，근거수술방법불동분위진행단조작공흉강경수술적단공조、쌍조작공흉강경수술적쌍공조、륵간절구수술적개방조，비교삼조환자적수술정황、병발증례수이급폐공능。결과단공조환자적수술시간(1．84±0．22)h、술후와상시간(4．21±0．54)d、주원총시간(9．62±1．04)d、술중출혈량(142．7±18．2)ml、술후인류량(132．8 ±17．5)ml、동통NRS평분(2．12± 0．34)、발생폐감염화폐불장(10%)균명현저우개방조화쌍공조；PEF、FEV1/FVC%(76．2± 9．6、65．8 ± 8．5)균명현고우개방조화쌍공조。결론단조작공전시흉강근치술유조우감소수술창상、촉진술후회복、감소술후병발증、개선폐공능，시치료조기폐암안전차유효적수술방법。
Objective To study the effect and safety of single utility port thoracoscopy radical surgery in treating patients with early lung cancer. Methods 90 patients with early lung cancer in our hospital were divided in-to the single utility port group given single utility port thoracoscopy surgery, the double holes group given double holes thoracoscopy surgery, and the open group given intercostal incision surgery. Then operation condition, complications cases and pulmonary function of the three groups were compared. Results The operation time (1. 84 ± 0. 22) h, postoperative bed time (4. 21 ± 0. 54) d, duration of hospital stay (9. 62 ± 1. 04) d, bleeding volume (142. 7 ± 18. 2)ml, postoperative drainage volume (132. 8 ± 17. 5)ml, NRS score (2. 12 ± 0. 34), lung infection and pulmo-nary atelectasis (10%) were significantly lower in the single utility port group than in the open group and the double holes group. The level of PEF, FEV1/FVC% (76. 2 ± 9. 6, 65. 8 ± 8. 5) were significantly higher in the single utili-ty port group than in the open group and the double holes group. Conclusion Single utility port thoracoscopy radical surgery is effective and safe in the treatment of patients with early lung cancer for it can reduce operation wound, pro-mote postoperative recovery, reduce complications and improve lung function.
