胸腔镜下肺癌根治术患者中转开胸影响因素分析

Analysis of Influencing Factors of Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer Turning to Thoracotomy

目的:探讨胸腔镜下肺癌根治术患者中转开胸发生危险因素。方法:选取2016年5月~2019年3月某院胸腔镜下实施肺癌根治术患者126例实施研究,根据患者术中是否转开胸分为开胸组和未开胸组,收集两组患者一般临床资料和相关可疑危险因素,探究胸腔镜下肺癌根治术患者中转开胸发生危险因素。结果:126例胸腔镜下肺癌根治术患者中转开胸29例,占23.02%。单因素分析得出,年龄、既往肺结核病史、肿瘤位置、胸膜粘连在开胸组和未开胸组患者中比较差异有统计学意义(P<0.05);多因素分析得出,影响胸腔镜下肺癌根治术患者中转开胸手术危险因素包括年龄(OR=3.254,P<0.05)、肺结核(OR=4.134,P<0.05)、肿瘤位置(OR=3.658,P<0.05)和胸膜粘连(OR=5.558,P<0.05)。结论:胸腔镜下肺癌根治术患者中转开胸临床危险因素较多,针对性进行预防和干预,对降低胸腔镜下肺癌根治术患者中转开胸发生率有重要价值。

Objective:To investigate the risk factors of patients undergoing thoracoscopic radical resection of lung cancer turning to thoracotomy.Methods:126 patients with lung cancer radical surgery in a hospital from May 2016 to March 2019 were selected.According to whether or not to open the chest,the patients were divided into open chest group and no open chest group.The general clinical data and related suspicious risk factors of the two groups were collected to explore the risk factors of patients with thoracoscopic radical resection of lung cancer turning to thoracotomy.Results:Twenty-nine cases(23.02%)of 126 patients undergong thoracoscopic radical resection of lung cancer turned to thoracotomy.Univariate analysis showed the difference of age,history of pulmonary tuberculosis,tumor location,pleural adhesion between the open chest group and the open chest group was statistically significant(P<0.05).Multivariate analysis showed that the risk factors affecting thoracotomy in patients undergoing thoracoscopic radical resection of lung cancer included age(OR=3.254,P<0.05),tuberculosis(OR=4.134,P<0.05),tumor location(OR=3.658,P<0.05)and pleural adhesion(OR=5.558,P<0.05).Conclusion:There are many clinical risk factors for thoracotomy in patients with thoracoscopic radical resection of lung cancer.Targeted prevention and intervention are of great value in reducing the incidence of thoracotomy in patients with thoracoscopic radical resection of lung cancer.