首页|单孔胸腔镜在早期非小细胞肺癌治疗的应用研究

单孔胸腔镜在早期非小细胞肺癌治疗的应用研究

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目的:比较使用单孔胸腔镜与双孔胸腔镜对早期非小细胞肺癌(NSCLC)患者进行根治性切除的治疗效果.方法:筛选科室在2020年1月~2022年8月收治的早期NSCLC患者为研究对象,患者均接受肺段切除术,按照手术方式分为观察组(单孔胸腔镜)和对照组(双孔胸腔镜),每组各58例早期NSCLC患者.比较两组患者围手术期指标、术后疼痛和并发症情况以及肺功能恢复和随访1年的数据.结果:观察组患者手术时间和住院时间短于对照组(P<0.05);观察组和对照组的手术出血量、淋巴结切除清扫数和术后并发症发生率无差异(P>0.05);术后24h和72h数字评分法观察组两个时间点得分均低于对照组(P<0.05);观察组患者术后1个月第1秒用力呼气容积、用力肺活量和最大分钟通气量均高于对照组,组间差异显著(P<0.05);随访1年后两组间无瘤生存率无统计学差异(P>0.05).结论:相比双孔胸腔镜手术,单孔胸腔镜手术能减少患者住院时间和术后疼痛,改善患者肺功能状态,但在术中出血量、并发症发生率和术后1年生存率上无差别.
Research on the Application of Single-Port Thoracoscopy for Treatment of Early Non-Small Cell Lung Cancer
Objective:To compare the efectiveness of single-port thoracoscopy and double-port thoracoscopy in the treatment of patients with non-small cell lung cancer(NSCLC).Methods:Early NSCLC patients admitted to the department from January 2020 to August 2022 were selected as the study subjects.All patients underwent lung segmentectomy and were divided into an observation group(single-port thoracoscopic)and a control group(double-port thoracoscopic)according to the surgical method.There were 58 early NSCLC patients in each group.Compare perioperative indicators,postoperative pain and complications,as well as lung function recovery and 1-year follow-up data between two groups of patients.Results:The surgery time and hospitalization time of the observation group were shorter than those of the control group(P<0.05);There was no difference in surgical bleeding,lymph node dissection,and postoperative complication incidence between the observation group and the control group(P>0.05);The scores of the observation group were lower than those of the control group at two time points using the digital scoring method at 24 and 72 hours after surgery(P<0.05);The observation group had significantly higher forced expiratory volume,forced vital capacity,and maximum minute ventilation in the first second of the first month after surgery compared to the control group,with significant differences between the groups(P<0.05);After 1 year of follow-up,there was no statistically significant difference in tumor free survival rate between the two groups(P>0.05).Conclusion:Comparing double-port thoracoscopy surgery,single hole thoracoscopic surgery can reduce hospital stay,decrease the pain and improve lung function recovery,but there are no significant different in the blood loss,complication rates and prognostic outcomes 1 year after the surgery between the two groups.

single-port thoracoscopedouble-port thoracoscopynon-small cell lung cancersegmentectomy

李金涛、曹道白音、王浩然

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北京大望路急诊抢救医院胸外科(北京 100021)

单孔胸腔镜 双孔胸腔镜 非小细胞肺癌 肺段切除术

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(7)
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