摘要
目的观察单孔胸腔镜手术治疗肺结节的临床疗效。方法回顾性分析2015年3月至2019年12月在安徽省黄山首康医院胸外科行胸腔镜手术的76例肺结节患者的临床资料。根据手术方式的不同,分为单孔胸腔镜手术组(观察组)与非单孔胸腔镜手术组(对照组),每组38例。比较两组患者手术时间、术中出血量、术后胸腔引流量、术后拔管时间、术后住院时间、住院费用、术后并发症发生率及术后疼痛评分情况的差异。结果观察组患者手术时间为(159.81±17.79)min、术中出血量为(55.75±19.32)mL、住院费用为(1.97±0.43)万元、术后并发症发生率为7.89%(3/38),与对照组比较,差异均无统计学意义(P>0.05)。观察组患者术后胸腔引流量为(62.49±5.64)mL、术后拔管时间为(2.80±0.55)d、术后住院时间为(6.52±0.50)d,均低于对照组,差异有统计学意义(P<0.05)。两组患者术后第3天的疼痛评分及术前与术后第3天的疼痛评分的差值进行比较,差异有统计学意义(P<0.05)。结论单孔胸腔镜治疗肺结节较非单孔组恢复快、疼痛轻、创伤小。
Objective To observe the clinical efficacy of single-hole thoracoscopic surgery in the treatment of pulmonary nodule.Methods The clinical data of 76 patients with pulmonary diseases who underwent thoracoscopic surgery in the Department of Thoracic Surgery,Huangshan Shoukang Hospital,Anhui Province from March 2015 to December 2019 were retrospectively analyzed.According to different operation methods,the patients were divided into single-arch thoracoscope surgery group(observation group)and single span thoracoscope surgery group(control group),with 38 cases in each group.The differences in operation time,intraoperative blood loss,postoperative chest diversion,postoperative extubation time,postoperative hospital stay,hospital cost,the incidence of postoperative complications,and postoperative pain scores were compared between the two groups.Results In the observation group,the operative time was(159.81±17.79)min,the intraoperative blood loss was(55.75±19.32)mL,the hospitalization cost was(1.97±0.43)thousand yuan,and the incidence of postoperative complications was 7.89%(3/38);there was no statistical significance in the differences when compared with control group(P>0.05).In the observation group,the postoperative pleural drainage from thoracic drainage tube was(62.49±5.64)mL,the extubation time was(2.80±0.55)d,and the postoperative hospitalization time was(6.52±0.50)d,all of which were lower than those in control group,and the difference was statistically significant(P<0.05).Conclusions Single-hole thoracoscopy is better than non-single-hole thoracoscopy in the treatment of pulmonary nodule.
作者
朱金美
汪涛
ZHU Jinmei;WANG Tao(Department of Thoracic Surgery,Huangshan Shoukang Hospital,Huangshan245000,China)
出处
《安徽医学》
2021年第7期740-743,共4页
Anhui Medical Journal
关键词
单孔胸腔镜
肺结节
临床疗效
Single-hole thoracoscopy
Lung disease
Clinical effect
