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目的比较单孔、单操作孔与三孔胸腔镜肺癌根治术的临床效果及围术期的影响,探讨单孔法及单操作孔技术的实用性。方法选取2016年1-12月期间行胸腔镜肺癌根治术的患者91例,分为单孔组(n=22)、单操作孔组(n=28)及三孔组(n=41),比较三组手术时间、术中出血量、淋巴结清扫数目、术后引流胸液总量、胸管停留时间、术后疼痛VAS评分、术后住院时间和术后并发症情况。结果三组在术中出血量、淋巴结清扫数目、引流胸液总量、术后住院天数、停留胸管时间及术后并发症方面差异无统计学意义(P>0.05)。单孔组及单操作孔组在术后疼痛评分方面优于三孔组(P<0.05),而两者间差异无统计学意义(P>0.05);单操作孔组的手术时间较三孔组、单孔组延长(P<0.05),而三孔组与单孔组间差异无统计学意义(P>0.05)。结论单孔法、单操作孔法与三孔法胸腔镜手术具有相类似的临床效果,在胸腔镜手术治疗非小细胞肺癌中是安全、可行的。
Objective To compare the clinical effects and perioperative effects of single-hole, single-operation hole and three-hole thoracoscopic lung cancer radical surgery and explore the practicability of single-hole method and single-operation hole technique. Methods Ninety-one patients undergoing thoracoscopic lung cancer radical mastectomy between January 2016 and January 2016 were enrolled in this study. The patients were divided into single-hole group (n = 22), single-operation hole group (n = 28) The operation time, blood loss, number of lymph node dissection, total drainage of pleural effusion after operation, duration of chest tube, postoperative pain VAS score, postoperative hospital stay and postoperative complications were compared. Results There were no significant differences among the three groups in the amount of bleeding, the number of lymph node dissection, the total amount of drainage pleural effusion, postoperative hospital stay, time to stay in the chest tube and postoperative complications (P> 0.05). The single-hole group and the single-operation hole group were superior to the three-hole group (P <0.05) in postoperative pain score, but there was no significant difference between the two groups (P> 0.05) (P <0.05), while there was no significant difference between the three-well group and the single-well group (P> 0.05). Conclusions The single-hole method, single-hole method and three-hole thoracoscopic surgery have similar clinical effects and are safe and feasible in the treatment of non-small cell lung cancer by thoracoscope.