作　　者： (周斌）; (刘传彬）; (王家富）; (安术祥）;

机构地区： 济宁医学院附属湖西医院胸心外科,山东菏泽274300

出　　处： 《临床误诊误治》 2017年第8期94-97,共4页

摘　　要： 目的探讨单孔胸腔镜肺叶切除术与三孔胸腔镜肺叶切除术治疗周围型肺癌的临床效果。方法选取2014年6月—2015年7月济宁医学院附属湖西医院收治的周围型肺癌90例根据入院病案单双号将其分为单孔切除组(采用单孔胸腔镜肺叶切除术治疗)50例与三孔切除组(采用三孔胸腔镜肺叶切除术治疗)40例,比较两组围手术期指标及术后并发症情况。结果单孔切除组手术时间长于三孔切除组,手术切口长度及术后疼痛视觉模拟评分短于或低于三孔切除组,两组比较差异均有统计学意义(P<0.05)。单孔切除组术后总并发症发生率16%(8/50),三孔切除组术后总并发症发生率35%(14/40),两组总并发症发生率比较差异有统计学意义(P<0.05)。结论单孔胸腔镜肺叶切除术与三孔胸腔镜肺叶切除术治疗周围型肺癌临床效果基本相当,虽单孔胸腔镜肺叶切除术手术时间稍微延长,但其可缩短手术切口长度,减轻患者术后疼痛程度,并可提高手术安全性,利于患者术后恢复。 Objective To investigate clinical effects of single-hole and three-holes thoracoscopic lobectomy in treatment of patients with peripheral lung cancer.Methods A total of 90 patients with peripheral lung cancer admitted during June 2014 and July 2015 were divided into single-hole resection group （n=50, single-Cavity thoracoscopic lobectomy） and three-holes resection group （n=40, three-holes thoracoscopic lobectomy） according to number of admission medical records.Perioperative indexes and incidence rates of postoperative complications were compared between the two groups.Results In single-hole resection group, operative time was significantly longer, while values of incision length and postoperative visual analogue scales （VAS） score were significantly lower than those in three-holes resection group （P〈0.05）.The total incidence rates of complication were 16% （8/40） in single-hole resection group and 35% （14/40） in three-holes resection group, and the difference in the total incidence rate of complications was statistically significant between the two groups （P〈0.05）.Conclusion Single-hole and three-holes thoracoscopic lobectomy in treatment of patients with peripheral lung cancer can achieve similar effect.Although operative time by single-hole thoracoscopic lobectomy is slightly longer, it can decrease incision length and degree of postoperative pain, and improve patients＇＇ postoperative recovery.

关 键 词： 肺肿瘤 肺切除术 胸腔镜