单孔与三孔胸腔镜肺叶切除术的临床疗效对比

目的对比单孔胸腔镜肺叶切除术（Uniportal VATS）与三孔胸腔镜肺叶切除术（3-portal VATS）治疗肺癌的临床疗效。方法肺癌患者行单孔胸腔镜肺叶切除术45例为单孔组,肺癌患者行三孔胸腔镜肺叶切除术53例为三孔组,比较2组患者的手术时间、术中出血量、淋巴结清扫数、切口长度、术后拔管时间、术后疼痛评分、术后住院天数、并发症发生率及患者满意度评分等。结果单孔组与三孔组术中出血量[（128.75±18.32）m L vs（129.15±17.69）m L]、淋巴结清扫数[（13.33±1.05）枚vs（13.12±1.38）枚]、术后拔管时间[（4.90±0.75）d vs（4.75±...

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Published in天津医药 Vol. 44; no. 1; pp. 101 - 104
Main Author 晋云鹏 卢喜科 张逊 周方 袁丽娜
Format Journal Article
LanguageChinese
Published 天津医科大学研究生院 300070%天津市胸科医院胸外科 2016
Subjects
三孔胸腔镜
单孔胸腔镜
肺切除术
肺叶切除术
肺癌
胸腔镜检查
lung cancer
肺切除术
肺癌
lobectomy
thoracoscopy
单孔胸腔镜
三孔胸腔镜
肺叶切除术
胸腔镜检查
pneumonectomy
3-portal VATS
uniportal VATS
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ISSN0253-9896
DOI10.11958/20150073

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Summary:目的对比单孔胸腔镜肺叶切除术（Uniportal VATS）与三孔胸腔镜肺叶切除术（3-portal VATS）治疗肺癌的临床疗效。方法肺癌患者行单孔胸腔镜肺叶切除术45例为单孔组,肺癌患者行三孔胸腔镜肺叶切除术53例为三孔组,比较2组患者的手术时间、术中出血量、淋巴结清扫数、切口长度、术后拔管时间、术后疼痛评分、术后住院天数、并发症发生率及患者满意度评分等。结果单孔组与三孔组术中出血量[（128.75±18.32）m L vs（129.15±17.69）m L]、淋巴结清扫数[（13.33±1.05）枚vs（13.12±1.38）枚]、术后拔管时间[（4.90±0.75）d vs（4.75±0.70）d]、术后住院天数[（7.52±1.16）d vs（7.55±1.10）d]、并发症发生率（20.0%vs 20.8%）等比较差异均无统计学意义。单孔组在切口长度[（5.36±0.22）cm vs（7.44±0.35）cm]、术后第1天疼痛评分[6.47±0.54 vs 6.86±0.52]、第3天疼痛评分[3.59±0.29 vs4.05±0.25]、患者满意度评分[91.03±2.62 vs 88.35±2.97]等方面均优于三孔组（均P〈0.05）,单孔组的手术时间较三孔组[（143.81±17.97）min vs（130.11±15.03）min]略有延长（P〈0.05）。结论单孔胸腔镜肺叶切除术治疗肺癌安全、有效,较传统三孔胸腔镜肺叶切除术创伤更小,疼痛更轻,患者满意度更高。
Bibliography:pneumonectomy; thoracoscopy; uniportal VATS;3-portal VATS; lobectomy; lung cancer
JIN Yunpeng, LU Xike, ZHANG Xun, ZHOU Fang, YUAN Li＇na（ 1 Graduate School, Tianjin Medical University, Tianjin 300070, China; 2 Tianjin Chest Hospital）
Objective To compare the clinical effects between uniportal video-assisted thoracic surgery （VATS） and 3- portal VATS lobectomy for patients with lung cancer. Methods Patients were divided into uniportal VATS lobectomy group （n=45） and 3-portal VATS lobectomy group （n=53）. The clinical data were compared between two groups, including the oper- ation time, intraoperative blood loss, number of lymph node dissection, length of incision, postoperative extubation time, post- operative pain score and postoperative hospitalization. Results There were no significant differences in intraoperative blood lose （128.75±18.32） mL vs （129.15±17.69） mL, lymph node dissection number （13.33±1.05） vs （13.12±1.38）, duration of chest drainage （4.90±0.75）d vs （4.75±0.70）d, duration of hospital stay （7.5
ISSN:0253-9896
DOI:10.11958/20150073