单操作孔胸腔镜下手术治疗早期非小细胞肺癌患者的效果研究

摘要

Objective To explore the efficacy of uniport video-assisted thoracoscopic surgery ( VATS) for patients with early stage non-small cell lung cancer .Methods 110 cases of non-small cell lung cancer treated with uniport VATS ( observation group) and 110 cases of non-small cell lung cancer treated with video-assisted mini-thoracotomy ( VAMT) ( control group ) were se-lected.The operative time,blood loss,drainage tube indwelling time ,postoperative total drainage volume ,number of lymph node dissection,postoperative complications ,and the degree of postoperative pain were compared between the 2 groups.Results Both groups successfully completed the surgery with no deaths .There had no significant difference in operative time ,number of lymph node dissection and postoperative complications between the 2 groups(P>0.05).The amount of bleeding,postoperative total drainage volume,drain time,and postoperative pain(1~3 days after surgery)scores in the observation group were lower than those of the control group(P<0.05).Conclusion Uniport VATS for early stage non-small cell lung cancer is effective ,has smaller trauma than VAMT ,and it is conducive to recovery .It is worthy of clinical application .%目的：探讨通过单操作孔胸腔镜下手术（ VATS）治疗早期非小细胞肺癌患者的效果。方法选取2011年1月至2014年5月行单操作孔胸腔镜下手术治疗的早期非小细胞肺癌患者110例（观察组），与同期胸腔镜辅助小切口（video-assisted mini-thoracotomy，VAMT）肺叶切除术的早期非小细胞肺癌患者110例（对照组），分别比较2组患者的手术时间、术中出血量、引流管留置时间、术后总引流量、淋巴结清扫数目、术后并发症、术后疼痛程度等。结果2组患者均顺利完成手术，无死亡病例。2组患者的手术时间、淋巴结清扫数目以及术后并发症相比较，差异无统计学意义（P＞0．05）。观察组患者出血量、术后总引流量、引流管放置天数和术后疼痛（术后第1～3天）评分均小于对照组（ P＜0．05）。结论单操作孔胸腔镜下手术治疗早期非小细胞肺癌疗效肯定，比VAMT创伤小，更易于恢复，值得在临床上推广应用。