单孔胸腔镜下肺癌患者行肺叶切除术及淋巴结清扫术的疗效观察

The Clinical Efficacy of Single-port VATS and Lymph Node Dissection for Lung Cancer

目的探讨单孔胸腔镜下肺癌患者行肺叶切除术及淋巴结清扫术的临床疗效。方法选择行三孔胸腔镜手术的31例患者与行单孔胸腔镜手术的33例患者进行比较,观察两组患者手术诊疗指标、术后疼痛、切口不适感、肩关节活动情况及并发症发生率。结果观察组手术指标中除手术时间高于对照组,术后VAS评分、术中出血量、引流量及住院时间等指标比对照组低,比较差异有统计学意义(P<0.05)。观察组相比对照组的术后肩关节活动优良率及切口不适感更优,比较差异有统计学意义(P<0.05)。结论单孔胸腔镜下肺叶切除术和淋巴结清扫术能有效治疗早期肺癌,且该术式创伤小、术后疼痛轻微,利于患者术后康复。

Objective To explore the clinical efficacy of single-port VATS and lymph node dissection for lung cancer. Methods 33 cases undertook single port VATS surgery were as observation group, 31 cases undertook three port VATS surgery were as control group. The two groups of patients with surgical diagnosis and treatment index, postoperative pain, incision discomfort, shoulder joint activity and complications were observed. Results The observation group was significantly lower than the control group in the VAS score, bleed loss, postoperative drainage amount, hospitalization time and the incision discomfort, the difference was statistically significant（P 〈 0.05）. However, the observation group was significantly higher than the control group in the operation time and excellent rate of shoulder joint function, the difference was statistically significant（P 〈 0.05）. Conclusion Single -port VATS and lymph node dissection can be effective in the treatment of early lung cancer, and the operation of small trauma, mild postoperative pain, improve the rehabilitation of patients.