首页|肺癌患者经单孔单向式全胸腔镜肺叶切除术+系统性纵隔淋巴结清扫术治疗的效果

肺癌患者经单孔单向式全胸腔镜肺叶切除术+系统性纵隔淋巴结清扫术治疗的效果

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目的:分析经单孔单向式全胸腔镜肺叶切除术+系统性纵隔淋巴结清扫术对肺癌患者的疗效.方法:回顾性选取2020年9月~2023年4月本院肺癌患者86例,按照治疗方案不同分成观察组、对照组,各43例.对照组行三孔单向式全胸腔镜肺叶切除术,观察组行经单孔单向式全胸腔镜肺叶切除术,统计对比两组基础指标、并发症以及围手术期疼痛度、创伤应激.结果:观察组手术时间短于对照组(P<0.05);术后1d、术后3d、术后5d的观察组视觉模拟评分分值少于对照组(P<0.05);观察组术后3d血清皮质醇、P物质、去甲肾上腺素水平少于对照组(P<0.05);两组并发症发生率比较,无明显差异(P>0.05).结论:肺癌患者经单孔单向式全胸腔镜肺叶切除术+系统性纵隔淋巴结清扫术治疗,可缩短手术时间,减轻术后疼痛与创伤应激.
Effect of Single-Pore Unidirectional Thoracoscopic Lobotomy Plus Systemic Mediastinal Lymph Node Dissection in Patients with Lung Cancer
Objective:To analyze the efficacy of single-hole unidirectional total thoracoscopic lobectomy plus systemic mediastinal lymph node dissection in patients with lung cancer.Methods:A total of 86 patients with lung cancer in our hospital from September 2020 to April 2023 were retrospectively selected and divided into observation group and control group according to different treatment plans,with 43 cases each.The control group underwent three-hole unidirectional total thoracoscopic lobectomy,while the observation group underwent single-hole unidirectional total thoracoscopic lobectomy.The basic indexes,complications,perioperative pain and traumatic stress of the two groups were statistically compared.Results:The operation time of observation group was shorter than that of control group(P<0.05).The VAS score of the study group was lower than that of the control group at 1d,3d and 5d after surgery(P<0.05).The levels of serum Cor,SP and NE in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Single-hole unidirectional thoracoscopic lobectomy plus systemic mediastinal lymph node dissection can shorten the operation time and relieve postoperative pain and traumatic stress.

lung cancerthree holesisoporeunidirectional total thoracoscopic lobectomysystemic mediastinal lymph node dissection

杨清岛

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福建省晋江市医院(上海市第六人民医院福建医院)(福建 晋江 362000)

肺癌 三孔 单孔 单向式全胸腔镜肺叶切除术 系统性纵隔淋巴结清扫术

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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