摘要
目的分析单孔及三孔胸腔镜对早期非小细胞肺癌患者临床指标及术后恢复的影响。方法回顾性选取安徽省肿瘤医院2018年1月至2019年12月接收的120例早期非小细胞肺癌患者作为研究对象,根据操作术式不同分为单孔组(n=65)和三孔组(n=55)。统计分析2组患者手术时间、术中出血量、引流量、胸管留置时间、住院时间、疼痛数字评分法(NRS)评分、淋巴结清扫情况、肺癌治疗功能性量表(FACT-L)评分及并发症发生率。结果单孔组患者手术时间为(156.87±18.55)min,长于三孔组的(117.57±16.34)min,术中出血量、引流量、胸管留置时间、住院时间分别为(73.25±33.15)m L、(877.85±653.77)m L、(6.34±3.13)d、(7.75±2.96)d,优于三孔组[(90.42±51.22)m L、(1144.56±745.79)m L、(7.68±4.02)d、(9.55±4.81)d],差异有统计学意义(P<0.05)。单孔组术后24 h和72 h的NRS评分分别为(4.81±0.85)分、(3.22±0.99)分,均明显低于三孔组[(5.17±1.08)分、(3.91±1.17)分],差异有统计学意义(P<0.05)。2组患者淋巴结清扫个数和站数相比差异无统计学意义(P>0.05)。单孔组功能状态评分、情感状态评分及FACT-L总分分别为(20.95±2.21)分、(19.87±1.71)分、(108.39±4.55)分,明显高于三孔组[(19.25±1.99)分、(18.59±1.68)分、(105.22±4.18)分],差异有统计学意义(P<0.05)。单孔组并发症总发生率为21.54%,略高于三孔组的18.18%,差异无统计意义(P>0.05)。结论对早期非小细胞肺癌,单孔与三孔胸腔镜的安全性和有效性相当,除手术时间较长外,能够有效优化患者临床指标,促进患者术后恢复,值得临床推广应用。
Objective To analyze the influence of single-hole and three-hole thoracoscopy on clinical indicators and postoperative recovery of patients with early non-small cell lung cancer.Methods 120 patients with early-stage non-small cell lung cancer admitted to our hospital from January 2018 to December 2019 were selected as study subjects,and were divided into the single-hole group(n=65)and the three-hole group(n=55)according to different surgical procedures.Operative time,intraoperative blood loss,drainage volume,indwelling time of thoracic duct,length of hospital stay,pain numerical score(NRS),lymph node dissection,functional scale for lung cancer treatment(FACT-L)score and complication rate were statistically analyzed in the two groups.Results The operation time of patients in the single port group was(156.87±18.55)min,which was longer than that of the three port group(117.57±16.34)min.The intraoperative blood loss,drainage volume,chest tube indwelling time,and hospital stay were(73.25±33.15)m L,(877.85±653.77)m L,(6.34±3.13)d,(7.75±2.96)d,better than three-hole group[(90.42±51.22)m L,(1144.56±745.79)m L,(7.68±4.02)d,(9.55±4.81)d],the differences were statistically significant(P<0.05).The NRS scores of the single port group at 24 h and 72 h after surgery were(4.81±0.85)points and(3.22±0.99)points,which were significantly lower than the three-hole group[(5.17±1.08)points and(3.91±1.17)points],the difference was statistically significant(P<0.05).There was no statistical significance in the number of lymph node dissection and the number of lymph node stations between the two groups(P>0.05).The functional status score,emotional status score,and FACT-L total score of the single-hole group were(20.95±2.21)points,(19.87±1.71)points,and(108.39±4.55)points,which were significantly higher than the three-hole group[(19.25±1.99)points,(18.59±1.68)points,(105.22±4.18)points],the differences were statistically significant(P<0.05).The total incidence of complications in the single-hole group was 21.54%,slightly
作者
张彤
张安庆
张荣新
周经月
ZHANG Tong;ZHANG An-qing;ZHANG Rong-xin(Department of Thoracic Surgery,Anhui Tumor Hospital,Hefei Anhui 233004,China)
出处
《临床和实验医学杂志》
2020年第21期2316-2319,共4页
Journal of Clinical and Experimental Medicine
基金
安徽省高校自然科学研究重点项目(编号:KJ2019A1107)。
关键词
非小细胞肺癌
单孔
三孔
胸腔镜
术后恢复
Non-small cell lung cancer
Single span
Three holes
Thoracoscope
Postoperative recovery
