全胸腔镜肺叶切除术治疗肺癌的临床分析

Clinical Analysis of Total Thoracoscopic Lobectomy in the Treatment of Lung Cancer

目的探讨肺癌患者实施全胸腔镜肺叶切除术治疗的疗效及临床应用价值。方法方便选取2018年5月—2021年5月于该院接受手术治疗的肺癌患者84例,根据数表法进行分组,对照组实施常规开胸手术,观察组实施全胸腔镜肺叶切除手术,分别记录各组患者临床手术指标及术后恢复情况,评估两组患者治疗效果,手术后不同时间疼痛程度变化,术后并发症总发生率。结果观察组患者切口长度(5.42±1.03)cm低于对照组,术中出血量(160.47±11.12)mL少于对照组,同时手术时间(130.47±5.95)min、术后引流时间(54.24±3.21)h、卧床时间(2.13±1.05)d、住院时间(12.13±1.33)d均短于对照组,差异有统计学意义(t=42.343、11.990、11.451、18.687、12.855、13.113,P<0.05)。两组患者均得到有效治疗,总有效率对比,差异无统计学意义(P>0.05)。观察组患者术后1、3 d疼痛评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者术后出现并发症的总概率4.76%低于对照组,差异有统计学意义(χ^(2)=6.222,P<0.05)。结论肺癌患者通过全胸腔镜肺叶切除手术治疗具有确切疗效,同时相比于常规开胸手术,其具有切口小、出血量少、患者术后恢复快、并发症少等优势,提倡运用推广。

Objective To discuss the curative effect and clinical application value of total thoracoscopic lobectomy for patients with lung cancer.Methods A total of 84 lung cancer patients who underwent surgery in this hospital from May 2018 to May 2021 were selected,and were grouped according to the digital table method.The control group underwent conventional thoracotomy,and the observation group underwent full thoracoscopic lobectomy.The clinical operative indicators and postoperative recovery,the treatment effect,the changes in the pain degree at different times after the operation,and the total incidence of postoperative complications in the two groups were evaluated.Results The incision length(5.42±1.03)cm of the observation group was lower than that of the control group,and the intraoperative blood loss(160.47±11.12)mL was less than the control group;at the same time,the operation time(130.47±5.95)min,postoperative drainage time(54.24±3.21)h,bed time(2.13±1.05)d,and hospital stay(12.13±1.33)d were shorter than those in the control group,the difference was statistically significant(t=42.343,11.990,11.451,18.687,12.855,13.113,P<0.05).Both groups of patients received effective treatment,the difference was not statistically significant(P>0.05).The pain scores of patients in the observation group were lower than those in the control group at 1 and 3 d after operation,the difference was statistically significant(P<0.05).The total probability of complications in the observation group was 4.76%lower than that in the control group,the difference was statistically significant(χ^(2)=6.222,P<0.05).Conclusion Thoracoscopic lobectomy for lung cancer patients has definite curative effects.Compared with conventional thoracotomy,it has the advantages of small incision,less blood loss,faster recovery of patients after surgery,and fewer complications.It is recommended to promote its application.