【摘要】 目的对比分析单孔及三孔两种入路在全胸腔镜下原发性肺癌根治术中的临床效果。方法回顾性分析宝鸡市中心医院2014年1月至2017年6月120例行全胸腔镜下原发性肺癌根治术患者的临床资料。试验组58例,采用单孔全胸腔镜入路;对照组62例,采用传统三孔全胸腔镜入路。对比分析两组围手术期临床指标、卫生经济学指标及生活质量。结果两组术中出血量、手术时间、淋巴结清扫数目、术后胸腔引流液体量、引流时间及术后并发症发生率比较,无统计学差异(P>0.05),试验组术中中转率显著高于对照组(P<0.05);两组耗材费用、术后住院天数、住院总天数、术后费用、住院总费用比较,差异无统计学意义(P>0.05)。术后3个月,两组患者的各项生活质量评分均优于术前,试验组情感状态、功能状态及整体评价评分优于对照组(P<0.05)。试验组切口麻木发生率明显低于对照组,切口外观满意度则显著高于对照组(P<0.05)。结论与传统三孔对比,采用单孔全胸腔镜入路应用于肺癌根治术安全可靠,术后生活质量高,可供临床应用。更多还原

【Abstract】 Objective To compare and analyze the clinical effect between single-port and three-ports approaches in primary lung cancer radical surgery under thoracoscope. Methods The clinical data of 120 patients with primary lung cancer radical surgery under thoracoscope from January 2014 to June 2017 in Baoji central hospital were retrospectively analyzed, of which 58 cases in the experimental group were treated with single-port thoracoscopic approach and 62 cases in the control group were treated with traditional three-ports thoracoscopic approach. Perioperative clinical indicators, health economics indicators and quality of life in the two groups were compared. Results There were no statistical differences in intraoperative blood loss, operative time, number of lymph node dissections, postoperative drainage volume, drainage time and incidence of postoperative complications between the two groups(P>0.05). The intraoperative transfer rate in the experimental group was significantly higher than that of the control group(P<0.05). There were no significant differences in the cost of consumables,hospital stays after surgery, total number of hospital stays, postoperative costs and total hospital expenses of the two groups(P>0.05). At 3 months after operation, the scores of quality of life in both groups were better than those before surgery, the scores of emotional status, functional status and overall evaluation of the experimental group were better than those in the control group(P<0.05). The rate of incision numbness in the experimental group was lower than that of the control group, and the satisfaction rate of the incision appearance was higher than that of the control group(P<0.05). Conclusion Compared with the traditional three-ports, single-port thoracoscopic approach is safe and reliable in primary lung cancer radical surgery,and patients has high postoperative quality of life. It can be used in clinic.更多还原