文章摘要
单孔与多孔胸腔镜治疗周围型非小细胞肺癌的临床疗效及安全性
Clinical effects of single and multiple port VATSon patients with peripheral NSCLC and safety comparison
投稿时间:2017-11-14  
DOI:10.3969/j.issn.1000-0399.2018.08.015
中文关键词: 多孔  单孔  胸腔镜  周围型非小细胞肺癌
英文关键词: Multiple port  Single port  Video-assisted thoracic surgery  Non-small cell lung cancer
基金项目:
作者单位
杨金华 473000 河南 南阳医学高等专科学校第一附属医院普胸外科 
赵天增 473000 河南 南阳医学高等专科学校第一附属医院普胸外科 
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中文摘要:
      目的 探讨单孔与多孔胸腔镜术式对周围型非小细胞肺癌(NSCLC)患者手术相关临床指标、疼痛程度及并发症的影响。方法 回顾性分析南阳医学高等专科学校第一附属医院2015年3月至2017年3月采用单孔或多孔胸腔镜治疗的109例周围型NSCLC患者的临床资料,根据手术方案分为多孔胸腔镜术组(对照组)58例和单孔胸腔镜术组(观察组)51例,比较两组患者手术用时、术中失血量、术中淋巴结清扫个数和站数,术后引流量、术后引流时间、住院总时间、中转开胸率、术后满意评分,术后随访疼痛评分及术后并发症。结果 两组患者手术用时、术中失血量、术中淋巴结清扫个数和站数、术后引流量、术后引流时间、住院总时间及中转开胸率比较,差异无统计学意义(P>0.05);观察组患者术后满意评分高于对照组,差异有统计学意义(P<0.05);观察组患者术后第1天、第7天,和第30天随访,疼痛评分均低于对照组,差异有统计学意义(P<0.05);两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 相较于多孔胸腔镜术式,单孔胸腔镜术式对周围型NSCLC可有效提高患者满意度,降低疼痛水平;但两者在操作用时、术后康复进程、中转开胸风险及并发症风险方面较为接近。
英文摘要:
      Objective bjectiveCollege,ollege,ated Hospmultiple port and single port VATS operation scheme on operation-related clinical indicators, pain degree and complications of patients with peripheral NSCLC. Methods A total of 109 patients with peripheral NSCLC were selected in the period from Mar 2015 to Mar 2017 in our hospital and divided into two groups according to operation scheme, namely control group (58 patients) with multiple port VATS operation and observation group (51 patients) with single port VATS operation; and the operation time, intraoperative blood loss volume, the lymph node resection number and stations, the postoperative drainage, the postoperative drainage time, the total hospitalization time, the thoracotomy rate, the patients satisfaction score, the postoperative pain score and the postoperative complications incidence of both groups were compared.Results There was no significant difference in the operation time, intraoperative blood loss volume, the lymph node resection number and stations, the postoperative drainage, the postoperative drainage time, the total hospitalization time and the thoracotomy rate between the two groups(p>0.05). The patients satisfaction score of observation group was significantly higher than that of control group(p<0.05). The postoperative pain score of observation group was significantly lower than that of control group(p<0.05). There was no significant difference in postoperative complication incidence between the two groups(P>0.05).Conclusion onclusion between ificant difference in postoperative complicationhe postoperative drainage, the postoperative drainage time, the to efficiently improve the satisfaction of patients and reduce the pain degree in acute and chronic period. Two kinds of VATS operation scheme possess the same effects in operation time, postoperative rehabilitation process, thoracotomy risk and safety.
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