单孔胸腔镜与传统胸腔镜肺楔形切除术治疗肺部疾病的临床对比研究

A comparative study of single-port thoracoscopic and traditional thoracoscopic pulmonary wedge resection in the treatment of pulmonary diseases

目的分析单孔胸腔镜与传统胸腔镜肺楔形切除术治疗肺部疾病的临床效果。方法 30例肺部疾病患者作为研究对象,按照数字随机法将患者分为单孔组与传统组,每组15例。单孔组实施单孔胸腔镜肺楔形切除术,传统组实施传统胸腔镜肺楔形切除术。比较两组患者围术期(术后第1天引流量、手术时长、置管时间、住院时间);术后第1、3天的疼痛评分;术后并发症发生情况。结果单孔组术后第1天引流量、手术时长、置管时间、住院时间分别为(21.17±2.39)ml、(169.55±15.49)min、(4.95±1.45)d、(8.87±2.25)d,均优于传统组的(35.44±3.27)ml、(218.80±22.64)min、(6.82±2.35)d、(13.52±3.75)d,差异均具有统计学意义(P<0.05)。单孔组术后第1、3天的疼痛评分分别为(4.09±0.49)、(2.77±1.55)分,均低于传统组的(5.51±0.87)、(4.14±1.84)分,差异均具有统计学意义(P<0.05)。两组术后均未发生胸腔积液,单孔组皮下气肿发生率为6.67%,感染发生率为0,与传统组的13.33%、6.67%比较,差异均无统计学意义(P>0.05)。结论肺部疾病患者实施单孔胸腔镜肺楔形切除术与传统胸腔镜肺楔形切除术相比更具优势,疼痛程度大大降低,术后引流量大大减少,置管时间、住院时间缩短,利于患者的早期康复。

Objective To analyze the clinical effect of single-port thoracoscopic and traditional thoracoscopic pulmonary wedge resection in the treatment of pulmonary diseases.Methods A total of 30 patients with pulmonary disease as study subjects were divided into single-port group and traditional group by random number table method,with 15 cases in each group.Single-port group received single-port pulmonary thoracoscopic wedge resection,and traditional group received traditional thoracoscopic pulmonary wedge resection.The perioperative indicators(drainage volume,operation time,catheterization time,hospitalization time at 1 st day after operation),pain score at 1 st and 3 rd day after operation,and occurrence of complications between the two groups.Results The drainage volume,operation time,catheterization time,hospitalization time at 1 st day after operation were(21.17±2.39) ml,(169.55±15.49) min,(4.95±1.45) d,(8.87±2.25) d in single-port group,which was better than(35.44±3.27) ml,(218.80±22.64) min,(6.82±2.35) d,(13.52±3.75) d in the traditional group,and their difference was statistically significant(P<0.05).The pain score at 1 st and3 rd day after operation were(4.09±0.49) and(2.77±1.55) points in single-port group,which was lower than(5.51±0.87) and(4.14±1.84) points in traditional group,and the difference was statistically significant(P<0.05).There was no pleural effusion in both groups.The incidence of subcutaneous emphysema was 6.67% and the incidence of infection was 0 in the single-port group,and it had no statistically significant difference,compared Mdth 13.33% and 6.67% in the traditional group(P>0.05).Conclusion Compared with traditional thoracoscopic pulmonary wedge resection,single-port thoracoscopic pulmonary wedge resection shows more advantages in patients with pulmonary diseases,including lower pain degree,greatly reduced postoperative drainage volume,shorter time of catheterization and hospitalization,which is conducive to the early rehabilitation of patients.