实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2015年
4期
104-106
,共3页
肺肿瘤%胸腔镜%肺切除术%治疗结果
肺腫瘤%胸腔鏡%肺切除術%治療結果
폐종류%흉강경%폐절제술%치료결과
Lung neoplasms%Thoracoscopes%Pneumonectomy%Treatment outcome
目的：探讨单操作孔全胸腔镜下肺叶切除术（ SP-VATS）治疗肺癌的临床效果。方法选取恩施市中心医院2010年3月—2014年4月收治的肺癌患者124例，采用随机数字表法将所有患者分为A组、B组和C组，每组41例。A组患者采用SP-VATS，B组患者采用经典“三孔法”胸腔镜肺叶切除术+淋巴结清扫术，C组患者采用腹腔镜辅助小切口肺叶切除术。观察3组患者手术时间、术中出血量、淋巴结清扫数目、胸腔引流管留置时间、术后前3 d总引流量、术后住院时间及术后并发症发生情况。结果3组患者淋巴结清扫数目比较，差异无统计学意义（P﹥0.05）；A组患者手术时间、胸腔引流管留置时间、术后住院时间短于B组和C组，术中出血量、术后前3 d总引流量少于B组和C组，B组患者术后住院时间短于C组（P﹤0.05）。3组患者术后并发症发生率比较，差异无统计学意义（P﹥0.05）。结论 SP-VATS有利于缩短肺癌患者手术时间及术后住院时间，减少术中出血量及术后引流量，且能保证淋巴结清扫效果，不增加术后并发症发生风险。
目的：探討單操作孔全胸腔鏡下肺葉切除術（ SP-VATS）治療肺癌的臨床效果。方法選取恩施市中心醫院2010年3月—2014年4月收治的肺癌患者124例，採用隨機數字錶法將所有患者分為A組、B組和C組，每組41例。A組患者採用SP-VATS，B組患者採用經典“三孔法”胸腔鏡肺葉切除術+淋巴結清掃術，C組患者採用腹腔鏡輔助小切口肺葉切除術。觀察3組患者手術時間、術中齣血量、淋巴結清掃數目、胸腔引流管留置時間、術後前3 d總引流量、術後住院時間及術後併髮癥髮生情況。結果3組患者淋巴結清掃數目比較，差異無統計學意義（P﹥0.05）；A組患者手術時間、胸腔引流管留置時間、術後住院時間短于B組和C組，術中齣血量、術後前3 d總引流量少于B組和C組，B組患者術後住院時間短于C組（P﹤0.05）。3組患者術後併髮癥髮生率比較，差異無統計學意義（P﹥0.05）。結論 SP-VATS有利于縮短肺癌患者手術時間及術後住院時間，減少術中齣血量及術後引流量，且能保證淋巴結清掃效果，不增加術後併髮癥髮生風險。
목적：탐토단조작공전흉강경하폐협절제술（ SP-VATS）치료폐암적림상효과。방법선취은시시중심의원2010년3월—2014년4월수치적폐암환자124례，채용수궤수자표법장소유환자분위A조、B조화C조，매조41례。A조환자채용SP-VATS，B조환자채용경전“삼공법”흉강경폐협절제술+림파결청소술，C조환자채용복강경보조소절구폐협절제술。관찰3조환자수술시간、술중출혈량、림파결청소수목、흉강인류관류치시간、술후전3 d총인류량、술후주원시간급술후병발증발생정황。결과3조환자림파결청소수목비교，차이무통계학의의（P﹥0.05）；A조환자수술시간、흉강인류관류치시간、술후주원시간단우B조화C조，술중출혈량、술후전3 d총인류량소우B조화C조，B조환자술후주원시간단우C조（P﹤0.05）。3조환자술후병발증발생솔비교，차이무통계학의의（P﹥0.05）。결론 SP-VATS유리우축단폐암환자수술시간급술후주원시간，감소술중출혈량급술후인류량，차능보증림파결청소효과，불증가술후병발증발생풍험。
Objective To explore the clinical effect of single utility port video-assisted thoracoscope surgery ( SP-VATS) on lung cancer. Methods A total of 124 lung cancer patients were selected in the Central Hospital of Enshi,and they were divided into groups A,B,C according to random number table,each of 41 cases. Patients of A group received SP-VATS, patients of B group received classic three-hole thoracoscope pulmonary lobectomy and lymphadenectomy,patients of C group received thoracoscope - assisted small incision pulmonary lobectomy. Surgery time, blood loss during surgery, lymph node dissection number,indwelling time of pleural drainage tube,total drainage volume within 3 days after surgery,hospital stays after surgery,incidence of complications after surgery were compared in the three groups. Results No statistically significant differences of lymph node dissection number or incidence of complications after surgery was found among the three groups( P﹥0. 05);surgery time,indwelling time of pleural drainage tube,hospital stays after surgery of A group were shorter than those of groups B and C,blood loss during surgery and total drainage volume within 3 days after surgery of A group were less than those of groups B and C,and hospital stays after surgery of B group was shorter than that of C group(P﹤0. 05). Conclusion SP-VATS can shorten the surgery time and hospital stays after surgery,reduce the blood loss during surgery and drainage volume after surgery in the treatment of lung cancer,and can ensure the lymphadenectomy effect,without increasing the risk of complications after surgery.
