杂交式单操作孔胸腔镜肺叶切除术治疗早期肺癌的-中华临床医师杂志.pdfVIP

·2948 · 中华临床医师杂志( 电子版)2014 年8 月第8 卷第16 期 Chin J Clinicians(Electronic Edition),August 15,2014,Vol.8,No.16 ·临床论著· 杂交式单操作孔胸腔镜肺叶切除术治疗 早期肺癌的临床研究 陈康 马金山 努尔兰 ·阿汗 【摘要】 目的 观察杂交式单操作孔胸腔镜肺叶切除术治疗早期肺癌疗效。方法 选择本院 于2014 年1～6 月收治的早期非小细胞癌患者60 例作为研究对象，均符合手术指征，回顾性分析其 临床资料，根据手术方法分为两组，每组30 例，观察组采取杂交式单操作孔胸腔镜肺叶切除术治疗， 对照组采取单纯小切口手术治疗，观察两组患者手术一般情况、术后情况及并发症发生情况。结果 观察 组术中出血量、切口长度分别为（173.4±27.9 ）ml 、（4.7 ±0.3 ）cm，均少于对照组（214.6 ±29.9 ）ml 、 （10.1±1.4）cm，P ＜0.05 。观察组术后 1 d 引流量、术后住院时间、术后 1 d VAS 评分分别为 （369.2 ±47.3 ）ml 、（9.9 ±1.1）d、（5.1 ±1.2）分，均优于对照组（423.6 ±49.1 ）ml 、（12.7±1.2）d、 （6.7 ±1.3）分，P ＜0.05 。两组术后带管时间比较无统计学差异（P ＞0.05 ）。观察组并发症5 例（16.7%）， 明显低于对照组13 例（43.3% ），χ2 ＝5.079，P ＜0.05 。结论 杂交式单操作孔胸腔镜肺叶切除术治 疗早期肺癌疗效较佳，创伤小，出血量小，恢复快，且安全，具有重要临床价值。 【关键词】 肺肿瘤； 胸腔镜； 治疗结果； 肺叶切除术 Clinical study of hybrid type single aperture thoracoscopic lobectomy resection operation for treatment of early stage of lung cancer Chen Kang, Ma Jinshan, Nuerlan ·Ahan. Department of Thoracic Surgery, Peoples Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China Corresponding author: Chen Kang, Email: xxg568@ 【Abstract 】 Objective To observe the curative effect of hybrid type single aperture thoracoscopic lobectomy resection operation for treatment of early stage of lung cancer. Methods 60 cases of patients with early stage non-small cell carcinoma were selected and treated in the hospital from January 2014 to June 2014, all accorded with the operation indications and they were randomly divided into two groups with 30 cases in each group, the observation group adopted the treatment of hybrid type single aperture thoracoscopic lobectomy resection operation, the control group took a simple small incision operation treatment, to observe the situation in operation and p