首页|单孔胸腔镜下膨胀萎缩法解剖性肺段切除术治疗早期NSCLC的疗效观察

单孔胸腔镜下膨胀萎缩法解剖性肺段切除术治疗早期NSCLC的疗效观察

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目的 探讨单孔胸腔镜下膨胀萎缩法解剖性肺段切除术治疗早期NSCLC的疗效及对患者肺功能的影响.方法 选取82 例NSCLC患者,根据手术方式差异分为2 组.研究组患者40 例,采用单孔胸腔镜下改良膨胀萎缩法解剖性肺段切除术治疗;对照组患者42 例,采用单孔胸腔镜下肺叶切除术治疗.比较 2 组患者的临床疗效等差异.结果 研究组的住院时间和术中出血量显著少于对照组(P<0.05),而其余围术期指标2 组比较无统计学差异(P>0.05).术后2 组的肺功能指标均较术前降低,且对照组降低更甚(P<0.05).术后2 组的血清相关指标均较术前升高,且对照组升高更甚(P<0.05).术后2 组的生活质量均较术前提高,且研究组提高更多(P<0.05).结论 单孔胸腔镜下改良膨胀萎缩法解剖性肺段切除术对早期NSCLC的疗效更佳,不仅可改善其肺功能,还可减轻炎性反应,最终有利于生活质量的提高,值得临床推广应用.
Efficacy of Single-port Thoracoscopic Anatomical Segmental Lung Resection by Expan-sion and Atrophy Method in the Treatment of Early-stage NSCLC
Objective To investigate the efficacy of single-port thoracoscopic anatomical segmental lung resection by ex-pansion and atrophy method in the treatment of early-stage NSCLC.Methods 82 patients with NSCLC were selected and divided into 2 groups according to the differences in surgical approaches.Among them,40 patients in the study group were treated by sin-gle-port thoracoscopic modified expansion atrophy method of anatomical lung segment resection,while 42 patients in the control group were treated by single-port thoracoscopic lobectomy,comparing the clinical efficacy and other differences between the 2 groups.Results The length of hospital stay and intraoperative bleeding were significantly less in the study group than in the con-trol group(P<0.05),while the remaining perioperative indices had no statistical difference between the 2 groups(P>0.05).Postoperative pulmonary function indexes were lower in both groups compared with the preoperative period,and more so in the control group(P<0.05).Serum-related indexes were higher in both groups after surgery,and more so in the control group(P<0.05);The quality of life improved in both groups after surgery compared with that before surgery,and more so in the study group(P<0.05).Conclusion Single-port thoracoscopic modified expansion and atrophy method anatomical segmental lung resection is more effective for patients with early-stage NSCLC,which not only improves their lung function,but also reduces inflammatory response,which ultimately benefits the quality of life and is worthy of clinical promotion.

Single-port thoracoscopic distensible atrophic anatomical segmental lung resectionEarly-stage non-small cell lung cancerEfficacyLung function

程领、张玉珠、薄霞

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450000 郑州大学第一附属医院

单孔胸腔镜下膨胀萎缩法解剖性肺段切除术 早期非小细胞肺癌 疗效 肺功能

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(4)
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