摘要
目的探讨单孔胸腔镜肺楔形切除术的临床效果。方法回顾性分析2018年2月—2020年2月间共60例胸腔镜肺楔形切除手术患者的临床资料。根据手术方式将患者分为两组,单孔胸腔镜手术组20例,单操作孔胸腔镜手术组40例,比较两组患者的手术时间、术中出血量、术后胸腔引流量、术后胸管留置时间、住院时间、切口长度、术后第1天疼痛评分、术后并发症发生率等。结果单孔组和单操作孔组在手术时间[(74.5±33.0)min vs(84.0±58.5)min(t=-0.165,P=0.869)]、术中出血量[(5.0±6.8)mL vs (5.0±5.0)mL(t=-1.140,P=0.254)]、术后胸腔引流量[(275.0±287.5)mL vs(361.0±337.5)mL (t=-1.921,P=0.055)]、术后胸管留置时间[(3.0±1.0)d vs (3.0±1.8)d (t=-1.907,P=0.057)]、住院时间[(11.3±4.6)d vs (11.5±4.6)d(t=-0.180,P=0.858)]及术后并发症发生率[胸腔积液及肺部感染发生率相同,均为5.0%vs10.0%(χ^2=0.027,P=0.869);皮下气肿为10.0%vs 15.0%(χ^2=0.018,P=0.893)]等指标上的差异无统计学意义(P>0.05)。而单孔组的切口长度(3.3±1.0)cm及术后第1天疼痛评分(1.0±0.1)分均优于单操作孔组的切口长度(4.5±1.0)cm及术后第1天疼痛评分(1.2±0.3)分,差异有统计学意义(t=-4.322、-1.995,P<0.05)。结论单孔胸腔镜行肺楔形切除手术是安全可行的,相对于单操作孔胸腔镜手术来说,手术切口更小,疼痛更轻,值得临床推广。
Objective To investigate the clinical effect of single-port thoracoscopic wedge resection of lung.Methods A retrospective analysis of the clinical data of 60 patients undergoing thoracoscopic lung wedge resection from February 2018 to February 2020.The patients were divided into 2 groups according to the operation method,20 cases in the single port thoracoscopic surgery group and 40 cases in the single port thoracoscopic surgery group.The operation time,intraoperative blood loss,postoperative thoracic drainage,and postoperative chest tube indwelling time,hospital stay,incision length,pain score on the first day after surgery,postoperative complications,etc.of the two groups were compared.Results The operation time of the single port group and the single operation port group was[(74.5±33.0)min vs(84.0±58.5)min(t=-0.165,P=0.869)],intraoperative blood loss[(5.0±6.8)mL vs(5.0±5.0)mL(t=-1.140,P=0.254)],postoperative chest drainage[(275.0±287.5)mL vs(361.0±337.5)mL(t=-1.921,P=0.055)],postoperative chest tube Indwelling time[(3.0±1.0)d vs(3.0±1.8)d(t=-1.907,P=0.057)],hospitalization time[(11.3±4.6)d vs(11.5±4.6)d(t=-0.180,P=0.858)]and the incidence of postoperative complications[the incidence of pleural effusion and lung infection is the same,both were 5.0%vs 10.0%(χ2=0.027,P=0.869);subcutaneous emphysema was 10.0%vs 15.0%(χ2=0.018,P=0.893)].There were not statistically significant differences in such indicators(P>0.05).The incision length(3.3±1.0)cm and the pain score(1.0±0.1)points on the first day after the operation in the single port group were better than those in the single port group(4.5±1.0)cm and the pain on the first day after the operation was(1.2±0.3)points,the difference was statistically significant(t=-4.322,-1.995,P<0.05).Conclusion Single-port thoracoscopic surgery for lung wedge resection is safe and feasible.Compared with single-port thoracoscopic surgery,the surgical incision is smaller and the pain is less.It is worthy of clinical promotion.
作者
钟楚澄
胡婉玲
ZHONG Chu-cheng;HU Wan-ling(Department of Thoracic Surgery,Fifth Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong Province,510700 China;Department of Obstetrics and Gynecology,Third People's Hospital of Baiyun District,Guangzhou,Guangdong Province,510545 China)
出处
《中外医疗》
2020年第34期22-25,共4页
China & Foreign Medical Treatment
关键词
单孔胸腔镜
肺楔形切除术
效果
Single port thoracoscopy
Lung wedge resection
Effect
