单孔与三孔胸腔镜下肺楔形切除术对术后疼痛和生活质量的影响

Comparison of postoperative pain and quality of life after pulmonary wedge resection using single-hole and three-hole thoracoscopy

目的 探讨单孔和三孔胸腔镜下行肺楔形切除术对患者术后疼痛和生活质量的影响。方法 回顾性分析2019年2月—2021年12月接受胸腔镜下肺楔形切除术治疗的97例患者的临床资料,根据手术方式的不同,分为单孔组(54例)和三孔组(43例),单孔组采用单孔胸腔镜手术进行治疗,三孔组采用三孔胸腔镜手术进行治疗,比较两组患者的术后疼痛程度和生活质量得分。结果 单孔组在术后第1、2和3天内的疼痛程度均明显低于三孔组,差异有统计学意义(P<0.05);单孔组术后生活质量分数高于三孔组,差异有统计学意义(P<0.05)。结论 与三孔胸腔镜手术比较,单孔胸腔镜手术能够减轻术后患者的疼痛程度,改善生活质量,具有良好的临床应用价值。

Objective To explore the effects of single-hole thoracoscopy and three-hole thoracoscopy on postoperative pain and quality of life in patients after pulmonary wedge resection.Methods A retrospective study was conducted on the clinical data of 97 patients with lung wedge resection from February 2019 to December 2021.According to the different surgical methods,they were divided into a single-hole group of 54 patients with single-hole thoracoscopy and a three-hole group of 43 patients with three-hole thoracoscopy.The postoperative pain and quality of life scores between the two groups of patients were compared.Results The pain scores of the single-hole group were significantly lower than those of the three-hole group on postoperative day 1,2,and 3(P<0.05).The postoperative quality of life score of the single-hole group was significantly higher than that of the three-hole group(P<0.05).Conclusion Patients undergoing lung wedge resection using single-hole thoracoscopy show reduced postoperative pain and improved quality of life than those using three-hole thoracoscopy,indicating that the surgery method has a good clinical application value.