3D胸腔镜肺叶切除术治疗原发性肺癌的疗效分析

Efficacy of 3D thoracoscopic lobectomy in the treatment of primary lung cancer

目的探究3D胸腔镜肺叶切除术治疗原发性肺癌的临床疗效。方法2018年10月~2020年2月我院收治的原发性肺癌病人120例。根据手术方式不同分为观察组(67例)和对照组(53例),观察组行3D胸腔镜肺叶切除术,对照组行2D胸腔镜肺叶切除术。观察两组手术情况、淋巴结清扫数目和术后外科病理分期、肺功能指标、疼痛情况和并发症情况。结果观察组手术时间、术后引流管留置时间、术后住院时间均短于对照组,术中出血量、术后24小时引流量低于对照组,差异有统计学意义(P<0.05)。两组淋巴结清扫数目和术后外科病理分期比较,差异无统计学意义(P>0.05)。观察组术后3个月用力呼气肺活量1秒量(FEV1)优于对照组,术后3个月视觉模拟疼痛评分(VAS)小于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(5.97%)低于对照组(18.87%),差异有统计学意义(P<0.05)。结论3D胸腔镜肺叶切除术治疗原发性肺癌可缩短手术时间、术后引流管留置时间和术后住院时间,减少术中出血量、术后24小时引流量,改善肺功能,减少疼痛,且并发症发生率较低。

Objective To explore the efficacy of 3 D thoracoscopic lobectomy in the treatment of primary lung cancer. Methods A total of 120 cases of primary lung cancer admitted to our hospital from October 2018 to February 2020 were selected. According to different surgical methods,they were divided into observation group( 67 cases) and control group( 53 cases). The observation group was treated with 3 D t,,horacoscopic lobectomy,and the control group was treated with 2 D thoracoscopic lobectomy. The operation status,number of lymph node dissection,postoperative surgical pathological stage,lung function index,pain status,and complications were recorded in the two groups. Results The operation time,postoperative drainage tube indwelling time,and postoperative hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss and the 24 h postoperative drainage were lower than those in the control group( P < 0. 05). There was no significant difference in the number of lymph node dissection and postoperative surgical pathological staging between the two groups( P> 0. 05). The forced expiratory vital capacity in 1 second( FEV1) in the observation group was better than that in the control group 3 months after operation( P < 0. 05). The visual analog score( VAS) of the observation group was lower than that of the control group 3 months after operation( P < 0. 05). The complication rate of the observation group was significantly lower than that of the control group( 5. 97%vs. 18. 87%,P < 0. 05). Conclusion 3 D thoracoscopic lobectomy for primary lung cancer can shorten the operation time,postoperative drainage tube indwelling time,postoperative hospital stays,reduce intraoperative blood loss,24 h postoperative drainage,improve lung function,reduce pain,and with less complications.