摘要
目的:探讨单操作孔胸腔镜手术(uniportal video-assisted thoracoscopic surgery,UVATS)治疗肺癌合并肺结核患者的临床特点及手术疗效。方法:回顾性分析2018年2月至2021年4月经UVATS治疗的118例非小细胞肺癌患者的临床资料。按患者类型分为观察组与对照组,观察组为UVATS治疗的57例合并肺结核的患者,对照组为UVATS治疗的61例无肺结核的患者。统计并分析患者一般临床资料、围手术期指标及肿瘤特征等。结果:两组性别、年龄等一般临床资料比较,差异均无统计学意义(均P>0.05)。两组手术方式、手术时长、术中出血量、中转开胸比例、术后并发症、术后引流管留置时间及术后住院时间对比,差异均无统计学意义(均P>0.05)。观察组胸腔粘连发生率为64.91%,显著高于对照组的37.70%,差异有统计学意义(P<0.05)。结论:UVATS治疗肺癌合并肺结核患者安全有效,此类患者易并发胸膜腔粘连,应严格掌握手术适应证及手术时机。
Objective: To investigate the clinical characteristics and surgical efficacy of uniportal video-assisted thoracic surgery(UVATS) in the treatment of patients with pulmonary tuberculosis and lung cancer. Methods: The clinical data of 118 patients with non-small cell lung cancer treated with UVATS from February 2018 to April 2021 were analyzed retrospectively. According to the type of patients, the patients were divided into an observation group and a control group. The observation group was 57 patients with pulmonary tuberculosis, and the control group was 61 patients without pulmonary tuberculosis. The general clinical data, perioperative indexes, and tumor characteristics of patients were collected and analyzed. Results: There was no significant difference in general clinical data such as gender and age between the 2 groups(all P>0.05). There was no significant difference in operation mode, operation duration, intraoperative blood loss, proportion of conversion to thoracotomy, postoperative complications, postoperative drainage tube indwelling time, and postoperative hospital stay between the 2 groups(all P>0.05). The incidence of pleural adhesion in the observation group was 64.91%, which was significantly higher than 37.70% in the control group(P<0.05). Conclusion: UVATS is a safe and effective treatment for patients with pulmonary tuberculosis and lung cancer. Such patients are prone to pleural adhesion. The indications and timing of operation should be strictly controlled.
作者
刘宁
何锋
陈新富
LIU Ning;HE Feng;CHEN Xinfu(Department of Thoracic Surgery,Fuzhou Pulmonary Hospital of Fujian,Fuzhou 350000,China)
出处
《临床与病理杂志》
CAS
2022年第12期2877-2883,共7页
Journal of Clinical and Pathological Research
基金
福州市临床重点专科建设项目(201912003)。
关键词
肺结核
肺癌
胸腔镜手术
并发症
pulmonary tuberculosis
lung cancer
thoracoscopic surgery
complication
