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目的研究并探讨单操作孔电视胸腔镜肺叶切除术治疗早期肺癌的临床效果。方法选取2012-01-2015-12广西医科大学第四附属医院进行肺叶切除术治疗的72例早期肺癌患者作为研究对象,采取随机数字表法将患者分为对照组、观察组,每组36例。对照组实施开胸肺叶切除术,观察组实施单操作孔电视胸腔镜肺叶切除术,比较两组患者的手术时间、术中出血量、下床活动时间、肛门排气恢复时间、住院时间、VAS疼痛评分以及术后并发症发生率。结果两组患者的手术时间比较,差异无统计学意义(P>0.05),但与对照组相比,观察组的术中出血量明显更少(P<0.05),其术后下床活动时间、肛门排气恢复时间、住院时间均明显缩短(P<0.05),其VAS疼痛评分明显更低,P<0.05。手术后,观察组的并发症发生率为2.78%,与对照组的16.67%相比,差异有统计学意义,P<0.05。结论在早期肺癌患者的临床治疗中,实施单操作孔电视胸腔镜肺叶切除术治疗可有效减轻手术对机体造成的创伤,促进术后恢复。
Objective To study and discuss the clinical effect of single-hole video-assisted thoracoscopic lobectomy in the treatment of early stage lung cancer. Methods A total of 72 patients with early-stage lung cancer undergoing lobectomy for the treatment of lung cancer at the Fourth Affiliated Hospital of Guangxi Medical University from January 2012 to December 2015 were enrolled. Patients were divided into control group and observation group by random number table . In the control group, the thoracotomy and lobectomy were performed. The observation group was underwent single-port videofractory thoracoscopic lobectomy. The operation time, intraoperative blood loss, ambulation time, anal exhaust recovery time, hospital stay, VAS Pain score and incidence of postoperative complications. Results There was no significant difference in operative time between the two groups (P> 0.05). However, compared with the control group, the intraoperative blood loss was significantly less in the observation group (P <0.05) , Anal exhaust recovery time, hospitalization time were significantly shorter (P <0.05), VAS pain score was significantly lower, P <0.05. After operation, the incidence of complication in the observation group was 2.78%, which was significantly different from 16.67% in the control group (P <0.05). Conclusion In the early clinical treatment of lung cancer patients, the implementation of single-hole video-assisted thoracoscopic lobectomy can effectively reduce the trauma to the body caused by surgery and promote postoperative recovery.