摘要
目的探讨肺叶切除术与改良膨胀萎陷法电视胸腔镜(VATS)解剖性肺段切除术对Ⅰ期非小细胞肺癌(NSCLC)患者手术指标、肺功能及预后的影响。方法选择2019年4月―2021年4月本院收治的86例NSCLC患者作为研究对象,按随机数表法分为观察组和对照组两组,每组各43例。对照组患者采用肺叶切除术治疗,观察组患者采用改良膨胀萎陷法VATS解剖性肺段切除术治疗,观察至术后3个月。比较两组手术指标、肺功能、预后及生活质量,统计段间平面出现时间及交界面清晰显示率。结果观察组术中出血量[(253.14±69.87)ml]少于对照组,住院时间[(11.29±2.06)d]短于对照组,术后用力肺活量占预计值的百分比(FVC%)[(80.53±6.58)%]、第1秒用力呼气容积占预计值百分比(FEV1%)[(82.74±6.23)%]高于对照组,差异均有统计学意义(P<0.05);术前两组生活治疗量表(SF-36)评分比较,差异无统计学意义(P>0.05);术后观察组SF-36评分[(75.91±5.48)分]高于对照组,差异有统计学意义(P<0.05)。两组淋巴结清扫数目、手术时间及并发症总发生率比较,差异无统计学意义(P>0.05)。观察组段间平面出现时间为(985.16±126.79)s,交界面清晰显示率为93.02%(40/43)。结论改良膨胀萎陷法中能够清晰、快速显示段间平面,降低手术难度,在Ⅰ期NSCLC患者中采用改良膨胀萎陷法VATS解剖性肺段切除术治疗是安全可行的,并发症少,手术损伤小,可减轻对患者肺功能的影响,提高患者生活质量,临床应用安全较高。
Objective To investigate the effects of lobectomy and modifiedinflation-deflation method carried video-assisted thoracoscopic surgery(VATS)on the surgical indicators,lung function and prognosis of patients with stage I non-small cell lung cancer(NSCLC).Methods A total of 86 patients suffered with NSCLC who were treated in Suzhou municipal hospital from April 2019 to April 2021 were selected as study objects,and they were divided into two groups according to the random number table method,with 43 cases in each group.The control group was treated with lobectomy,and the observation group was treated with modifiedinflation-deflation method carried VATS anatomical segmentectomy,and the observation on the patients lasted until 3 months after surgery.The surgical indicators,lung function,prognosis and quality of life were compared between the two groups.The appearance time of the intersegmental plane and the clear display rate of the interface were counted.Results The intraoperative blood loss of the observation group[(253.14±69.87)mL]was less than that of the control group,the hospital stay[(11.29±2.06)d]was shorter than that of the control group,the percentage of postoperative forced vital capacity to the predicted value(FVC%)[(80.53±6.58)%]and the percentage of forced expiratory volume at the first second to the predicted value(FEV1%)[(82.74±6.23)%]were higher than those of the control group,with statistical difference(P<0.05).There was no statistical difference in SF-36 score between the two groups before surgery(P>0.05).The SF-36 score of the observation group[(75.91±5.48)]was higher than that of the control groupafter operation,with statistical difference(P<0.05).There was no statistical difference in the number of lymph node dissection,operation time and total incidence of complications between the two groups(P>0.05).In the observation group,the appearance time of intersegment plane was(985.16±126.79)s,and the clear display rate of interface was 93.02%(40/43).Conclusions Modified inflation-deflation method
作者
陈斌
王姗
郭锋
Chen Bin;Wamg Shan;Guo Feng(North Anhui Health Vocational College,Suzhou,Anhui,234000,China;pneumology department of Suzhou municipal hospital,Suzhou,Anhui,234000,China)
出处
《齐齐哈尔医学院学报》
2022年第5期440-443,共4页
Journal of Qiqihar Medical University
基金
2019年校级质量工程重点项目呼吸科教师教学创新团队(2019wbwyjxtd01)。
关键词
非小细胞肺癌
改良膨胀萎陷法
电视胸腔镜
解剖性肺段切除术
肺叶切除术
肺功能
Carcinoma
Non-small cell lung
Modified inflation-deflation method
Video-assisted thoracoscopy
Anatomical segmentectomy
Lobectomy
Lung function
