Objective To evaluate the clinical effect of Uniportal video -assisted thoracoscopic surgery and single utility port video-assisted thoracoscopic surgery for ⅠA stage non-small cell lung cancer .Methods A total of 81 patients with ⅠA stage non-small cell lung cancer was admitted to our hospital from January 2015 to November 2015 .The patients were divided into control group and observation group .51 patients of control group received single utility port video -assisted thoracoscopic surgery , while other 30 patients of observation group received Uniportal video -assisted thoracoscopic surgery .Results The incision length of observation group was(4.27 ±0.29) cm,operative time was (208.80 ±61.12) mins.The volume of blood intra -operation was (92.33 ±73.75)mL;the number of lymph nodes dissection was (15.62 ±5.12),post-operative drainage within 24 hours was(401.70 ±53.31)mL;drainage tube retention was (6.30 ±3.01)days;postoperative hospitalization time was(19.03 ±5.85)days.The incidence rate of postoperative complications was 13.33%.The incision length of control group was(3.86 ±0.23)cm.The operative time was(184.30 ±51.36)mins;The volume of blood intra-operation was(84.90 ±80.98)mL,the number of lymph nodes dissection was (15.84 ±5.66),post-operative drainage within 24 hours was(398.00 ±52.73)mL;drainage tube retention was(6.10 ±3.25)days;postoperative hospitalization time was(18.69 ±6.81) days;The incidence rate of postoperative complications was 25.49%, there were no significant difference between the two groups (P>0.05).VAS pain score of the observation group was(2.32 ±0.94)and it was(4.18 ±0.95)in control group,and observation group was significantly better than the control group(P<0.05).Conclusion Uniportal video -assisted thoracoscopic surgery has the benefit of less trauma and pain ,and it is worth using widely .%目的：对比研究单孔与单操作孔电视辅助胸腔镜手术治疗ⅠA期非小细胞肺癌（ Non－small cell lung cancer ，NSCLC）的临床效果。方法统计哈尔滨医科大学附属肿瘤医院自2015年1月—2015年11月收治的行胸腔镜手术的ⅠA期NSCLC患者的病例资料共81例，其中行单操作孔胸腔镜下肺癌根治术患者51例（对照组），行单孔胸腔镜下肺癌根治术患者30例（观察组），对比两组患者的临床疗效的差异。结果观察组在切口长度、手术时间、术中失血量、淋巴结清扫个数、术后24 h胸引量、胸引管留置时间、住院时间、术后并发症发生率等方面分别为（4．27±0．29）cm、（208．80±61．12）min、（92．33±73．75）mL、（15．62±5．12）个、（401．70±53．31）mL、（6．30±3．01）d、（19．03±5．85）d、13．33％，对照组分别为（3．86±0．23） cm、（184．30±51．36） min、（84．90±80．98） mL、（15．84±5．66）个、（398．00± 52．73）mL、（6．10±3．25）d、（18．69±6．81）d、25．49％，观察组与对照组差异不具有统计学意义（P＞0．05）。术后采用视觉模拟评分（VAS）评估患者疼痛，观察组（2．32±0．94）分，对照组为（4．18±0．95）分，观察组疼痛明显减轻（P＜0．05）。结论单孔胸腔镜手术创伤小，术后患者疼痛明显减轻，单孔胸腔镜手术值得推广。
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