全胸腔镜下肺叶切除术治疗肺癌对患者引流量、疼痛评分的影响
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摘要
目的探讨全胸腔镜下肺叶切除术治疗肺癌对患者引流量、疼痛评分的影响。方法随机选取肺癌患者60例分为2组:采用全胸腔镜下肺叶切除术的患者为全胸腔镜组(30例),采用常规开胸肺叶切除术的患者为常规开胸组(30例),统计分析2组患者的术中术后指标、术后并发症发生情况、局部复发、远处转移、3年生存情况。结果全胸腔镜组患者的手术时间显著长于常规开胸组(P <0. 05),术中出血量、术后引流量均显著少于常规开胸组(P <0. 05),引流管留置时间、疼痛时间、下床时间均显著短于常规开胸组(P <0. 05),VAS评分显著低于常规开胸组(P <0. 05),术后并发症发生率(6. 7%)显著低于常规开胸组(26. 7%)(P <0. 05),3年生存率高于常规开胸组(P <0. 05)。结论与常规开胸肺叶切除术相比,全胸腔镜下肺叶切除术治疗肺癌更能有效减少患者引流量,降低患者疼痛评分。
Objective To explore The influence of complete video-assisted thoracoscopic lobectomy on drainage flow and pain score of Patients with Lung Cancer. Methods Sixty patients with lung cancer were randomly selected and divided into two groups according to different surgical methods: Total thoracoscopic lobectomy was performed in 30 patients and conventional thoracotomy in 30 patients. The intraoperative and postoperative indicators,postoperative complications,local recurrence,distant metastasis,and 3-year survival of 2 groups were analyzed. Results The operative time of patients in c VATS group was longer than that in open lobectomy group( P < 0. 05),the intraoperative blood loss and postoperative drainage volume in c VATS group were less than those in open lobectomy group( P < 0. 05),the drainage duration,time of pain and getting out-of-bed in c VATS group were less than that in open lobectomy group( P < 0. 05),VAS scores of c VATS group was lower than that of open lobectomy group( P< 0. 05),postoperative complication rate was 6. 7% in c VATS group,that was lower than that in open lobectomy group,which was26. 7%( P < 0. 05),3-year survival in in c VATS group was higher than that in open lobectomy group( P < 0. 05). Conclusion Complete video-assisted thoracoscopic lobectomy is more effective than Thoracotomy lobectomy on reducing drainage flow and pain score of patient with lung cancer.
Objective To explore The influence of complete video-assisted thoracoscopic lobectomy on drainage flow and pain score of Patients with Lung Cancer. Methods Sixty patients with lung cancer were randomly selected and divided into two groups according to different surgical methods: Total thoracoscopic lobectomy was performed in 30 patients and conventional thoracotomy in 30 patients. The intraoperative and postoperative indicators,postoperative complications,local recurrence,distant metastasis,and 3-year survival of 2 groups were analyzed. Results The operative time of patients in c VATS group was longer than that in open lobectomy group( P < 0. 05),the intraoperative blood loss and postoperative drainage volume in c VATS group were less than those in open lobectomy group( P < 0. 05),the drainage duration,time of pain and getting out-of-bed in c VATS group were less than that in open lobectomy group( P < 0. 05),VAS scores of c VATS group was lower than that of open lobectomy group( P< 0. 05),postoperative complication rate was 6. 7% in c VATS group,that was lower than that in open lobectomy group,which was26. 7%( P < 0. 05),3-year survival in in c VATS group was higher than that in open lobectomy group( P < 0. 05). Conclusion Complete video-assisted thoracoscopic lobectomy is more effective than Thoracotomy lobectomy on reducing drainage flow and pain score of patient with lung cancer.
引文
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[11]郭虹,刁亚利,范黄新,等.全腔镜下四孔单向式与三孔法解剖性肺叶切除治疗早期非小细胞肺癌的临床回顾性研究[J].中国肺癌杂志,2018,21(8):578-582.
[12]Gao R,Liu Y,Li D,et al.PFKFB4 promotes breast cancer metastasis via induction of hyaluronan production in a p38-Dependent manner[J].Cell Physiol Biochem,2018,50(6):2108-2123.
[13]雷乘强,文光锐.完全电视胸腔镜手术(c VATS)与腋下小切口肺叶切除术治疗肺癌的临床效果对比[J].实用癌症杂志,2016,31(12):1990-1992.
[2]张小川,仲宁,张亚年,等.胸腔镜下肺段切除与肺叶切除治疗早期肺癌临床疗效评估[J].徐州医科大学学报,2017,37(12):802-804.
[3]王安生,刘以尧,段贵新,等.肺癌患者完全胸腔镜与开胸肺叶切除术后近期生活质量的比较[J].中国微创外科杂志,2014,14(5):439-441.
[4]植华德,何德荣,谢保东,等.基层医院开展全胸腔镜肺叶切除术治疗早期肺癌的临床研究[J].疑难病杂志,2016,15(9):885-888.
[5]潘茂杰,高会江,蒋志慧,等.基于倾向性评分匹配法的胸腔镜与开放袖式肺叶切除术近期与远期疗效比较[J].中华外科杂志,2018,56(7):522-537.
[6]李喆,杨杨,刘延风,等.全胸腔镜肺叶切除术治疗早期非小细胞肺癌的临床效果[J].实用癌症杂志,2018,33(1):82-92.
[7]史经伟,曹珲,刘政呈,等.真性红细胞增多症患者行肺癌根治术1例[J].中国现代医学杂志,2018,28(23):127-128.
[8]刘日清,阮永军,刘如锋,等.全胸腔镜下肺叶切除治疗早期肺癌的安全性和有效性分析[J].西部医学,2016,28(1):99-101,105.
[9]连铎煌,徐驰,曾志勇,等.单操作孔全胸腔镜肺癌根治术62例[J].中国微创外科杂志,2016,16(5):411-413.
[10]田亮.全胸腔镜下肺叶切除术治疗早期肺癌的安全性和有效性探讨[J].医药前沿,2018,8(18):126.
[11]郭虹,刁亚利,范黄新,等.全腔镜下四孔单向式与三孔法解剖性肺叶切除治疗早期非小细胞肺癌的临床回顾性研究[J].中国肺癌杂志,2018,21(8):578-582.
[12]Gao R,Liu Y,Li D,et al.PFKFB4 promotes breast cancer metastasis via induction of hyaluronan production in a p38-Dependent manner[J].Cell Physiol Biochem,2018,50(6):2108-2123.
[13]雷乘强,文光锐.完全电视胸腔镜手术(c VATS)与腋下小切口肺叶切除术治疗肺癌的临床效果对比[J].实用癌症杂志,2016,31(12):1990-1992.