摘要
目的观察胸腔镜下肺段切除术治疗早期肺癌的效果。方法抽取2019年10月至2020年10月南阳南石医院收治的早期肺癌患者60例,按随机数字表法分为A组与B组,每组30例。A组采用胸腔镜下肺段切除术,B组采用胸腔镜肺叶切除术。对比两组围术期情况、肺功能[用力肺活量(FVC)、第1秒用力呼气量(FEV1)]、视觉模拟评分法(VAS)评分、并发症发生率及预后情况。结果A组术中出血量少于B组,住院时间短于B组(P<0.05);术后1、3、7 d,A组VAS评分均低于B组(P均<0.05)。A组生存率(100.00%,30/30)与B组(96.67%,29/30)比较差异未见统计学意义(P>0.05)。术后,A组FVC、FEV1水平均低于B组(P均<0.05);A组并发症发生率(3.33%,1/30)与B组(10.00%,3/30)比较差异未见统计学意义(P>0.05)。两组复发率及生存率比较差异未见统计学意义(P>0.05)。结论胸腔镜下肺段切除术应用于早期肺癌患者,可减少出血量,改善肺功能,且疼痛度低,手术安全性良好,可加快患者术后恢复进程,且预后效果理想。
Objective To observe the effect of thoracoscopic segmentectomy on patients with early lung cancer.Methods A total of 60 patients with early lung cancer treated in Nanshi Hospital of Nanyang from October 2019 to October 2020 were selected,and all patients were divided into group A and group B according to the random number table method,with 30 case in each group.Group B underwent thoracoscopic lobectomy,and group A underwent thoracoscopic segmentectomy.The perioperative condition,pulmonary function assessed by forced vital capacity(FVC),forced expiratory volume in one second(FEV1),visual analogue scale(VAS)score,complication rate and prognosis were compared between the two groups.Results Compared with group B,group A had less intraoperative blood loss and shorter hospital stay(P<0.05).The VAS scores of the group A were lower than those of the group B 1,3 and 7 d after surgery(all P<0.05).There was no significant difference in survival rate between the group A(100.00%,30/30)and the group B(96.67%,29/30),P>0.05.After operation,the levels of FVC and FEV1 in the group A were lower than those in the group B(all P<0.05).There was no significant difference in the complication rate between the group A(3.33%,1/30)and the group B(10.00%,3/30),P>0.05.There was no significant difference in recurrence rate and survival rate between the two groups(P>0.05).Conclusions Thoracoscopic segmentectomy for patients with early lung cancer can reduce the amount of blood loss,improve lung function,with low pain and good surgical safety.And it can accelerate the postoperative recovery process of patients,of which the prognosis is ideal.
作者
靳红领
韩丽丽
余德旺
Jin Hongling;Han Lili;Yu Dewang(Department of Thoracic Surgery,Nanshi Hospital of Nanyang,Nanyang 473000,China)
出处
《中国实用医刊》
2022年第18期42-45,共4页
Chinese Journal of Practical Medicine
关键词
肺癌
早期
胸腔镜下肺段切除术
肺功能
并发症
Lung cancer
Early stage
Thoracoscopic segmentectomy
Lung function
Complications
