全胸腔镜肺叶切除术对早期肺癌患者临床疗效及疼痛的影响

Effect of total thoracoscopic lobectomy on clinical efficacy and pain in patients with early lung cancer

目的分析全胸腔镜肺叶切除术对早期肺癌患者临床疗效及疼痛的影响。方法选取2019年12月至2020年12月本院收治的80例早期肺癌患者作为研究对象,采用随机数字表法分为对照组与观察组,每组40例。对照组实施常规开胸肺叶切除术,观察组实施全胸腔镜肺叶切除术治疗,比较两组临床疗效、治疗前后肺功能指标、手术指标、疼痛程度、术后并发症发生率。结果观察组治疗总有效率为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05)。治疗后,两组用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))均大于治疗前,呼气流量峰值(PEF)均高于治疗前,且观察组FVC、FEV_(1)均大于对照组,PEF高于对照组,差异有统计学意义(P<0.05)。观察组手术时间短于对照组,术中出血量、引流液量均少于对照组,视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论全胸腔镜肺叶切除术治疗早期肺癌效果显著,可改善患者肺功能,缩短手术时间、减少术中出血量、引流液量,减轻患者疼痛感,降低术后并发症发生率,值得临床推广应用。

Objective To analyze the effects of total thoracoscopic lobectomy on clinical effect and pain in patients with early lung cancer.Methods 80 patients with early lung cancer admitted to our hospital from December 2019 to December 2020 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group was treated with conventional thoracotomy lobectomy,and the observation group was treated with total thoracoscopic lobectomy,the clinical efficacy,lung function indexes before and after treatment,operative indexes,pain degree,and the incidence of postoperative complications were compared between the two groups.Results The total effective rate in the observation group was 97.50%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,orced vital capacity(FVC)and forced expiratory volume in one second(FEV_(1))of the two groups were larger than before treatment,and peak expiratory flow(PEF)were higher than before treatment,and FVC and FEV_(1) in the observation group were larger than those in the control group,and PEF was higher than that in the control group,the differences were statistically significant(P<0.05).The operation time in the the observation group was shorter than that in the control group,the amount of intraoperative bleeding and drainage fluid volume were less than those in the control group,and the visual analogue scale(VAS)score was lower than that in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 2.50%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Total thoracoscopic lobectomy has significant effect in the treatment of early lung cancer,which can improve the lung function of patients,shorten the operation time,reduce the amount of intraoperative bleeding and drainage fluid volume,relieve the pain of patients,and reduce the incidence of postoperative complications,is worthy of clinical promotion and application.