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目的观察杂交式单操作孔胸腔镜肺叶切除术治疗早期肺癌疗效。方法选择本院于2014年1~6月收治的早期非小细胞癌患者60例作为研究对象,均符合手术指征,回顾性分析其临床资料,根据手术方法分为两组,每组30例,观察组采取杂交式单操作孔胸腔镜肺叶切除术治疗,对照组采取单纯小切口手术治疗,观察两组患者手术一般情况、术后情况及并发症发生情况。结果观察组术中出血量、切口长度分别为(173.4±27.9)ml、(4.7±0.3)cm,均少于对照组(214.6±29.9)ml、(10.1±1.4)cm,P<0.05。观察组术后1 d引流量、术后住院时间、术后1 d VAS评分分别为(369.2±47.3)ml、(9.9±1.1)d、(5.1±1.2)分,均优于对照组(423.6±49.1)ml、(12.7±1.2)d、(6.7±1.3)分,P<0.05。两组术后带管时间比较无统计学差异(P>0.05)。观察组并发症5例(16.7%),明显低于对照组13例(43.3%),χ2=5.079,P<0.05。结论杂交式单操作孔胸腔镜肺叶切除术治疗早期肺癌疗效较佳,创伤小,出血量小,恢复快,且安全,具有重要临床价值。
Objective To observe the curative effect of thoracoscopic lobectomy for early lung cancer treated with hybrid single operation hole. Methods Sixty patients with early-stage non-small cell lung cancer admitted to our hospital from January to June 2014 were enrolled in this study. All of them were in accordance with the surgical indications. The clinical data were retrospectively analyzed. According to the surgical methods, the patients were divided into two groups of 30 patients , The observation group to take a hybrid operation hole thoracoscopic lobectomy treatment, the control group to take a simple small incision surgery, the two groups were observed in general surgery, postoperative complications and complications. Results The blood loss and incision length in the observation group were (173.4 ± 27.9) ml and (4.7 ± 0.3) cm, respectively, less than those in the control group (214.6 ± 29.9) ml and (10.1 ± 1.4) cm, respectively. The drainage volume, postoperative hospital stay and postoperative 1 day VAS scores in the observation group were (369.2 ± 47.3) ml, (9.9 ± 1.1) d and (5.1 ± 1.2) points respectively, which were all better than those in the control group (423.6 ± 49.1) ml, (12.7 ± 1.2) d, (6.7 ± 1.3) points respectively, P <0.05. There was no significant difference between the two groups in the time of laparotomy (P> 0.05). The complication in observation group was 5 cases (16.7%), which was significantly lower than that in control group (43.3%), χ2 = 5.079, P <0.05. Conclusions Hybrid single-operation hole thoracoscopic lobectomy for early lung cancer has better curative effect, less trauma, less bleeding, faster recovery and safety, and has important clinical value.