本文關(guān)鍵詞：全胸腔鏡下解剖性右肺上葉切除術(shù)三孔法和單孔法的對比研究　出處：《蘇州大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 全胸腔鏡 解剖性肺葉切除術(shù) 三孔法 單孔法

【摘要】：目的:通過對比全胸腔鏡下解剖性右肺上葉切除術(shù)三孔法和單孔法在術(shù)中及術(shù)后各項指標來探討兩種手術(shù)方式在肺癌的微創(chuàng)治療中的應(yīng)用。方法:選取張家港市第一人民醫(yī)院2013年1月到2014年12月之間收治的30例全胸腔鏡下解剖性右肺上葉切除術(shù)患者,根據(jù)操作孔數(shù)目隨機分為兩組。三孔法組(18例)和單孔法組(12例),比較兩組在手術(shù)時間、術(shù)中出血量、淋巴結(jié)清掃個數(shù)、術(shù)后胸引總量、引流管留置時間和術(shù)后住院天數(shù)等指標上的差異。結(jié)果:兩組手術(shù)時間、術(shù)中出血量、術(shù)后住院、淋巴結(jié)清掃個數(shù)、術(shù)后胸引總量、引流管留置時間比較,差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:本項研究顯示解剖性右肺上葉切除術(shù)單孔法手術(shù)在各項觀察指標上與三孔法相等相當(dāng),且不影響縱隔淋巴結(jié)的清除率,也不延長術(shù)后住院時間,可以在臨床中進一步研究。但由于本文病例數(shù)量相對較少,希望在積累更多相關(guān)病例后進行更加深入地研究。有條件的醫(yī)院在臨床實踐中,在保證患者安全的前提下,可有目的的選擇適合的肺癌患者靈活應(yīng)用全胸腔鏡下解剖性右肺上葉切除術(shù)的三孔法或單孔法,進一步促進肺癌微創(chuàng)治療的普及和發(fā)展。
[Abstract]:Objective: to explore the application of the two operative methods in the minimally invasive treatment of lung cancer by comparing the three hole and one hole methods of dissecting upper lobectomy under total thoracoscope in intraoperative and postoperative indexes. Thirty cases of total thoracoscopic dissecting right upper lobectomy were selected from January 2013 to December 2014 in the first people's Hospital of Zhangjiagang City. According to the number of operating foramen, the patients were randomly divided into two groups: the three-hole group (n = 18) and the single-hole group (n = 12). The operative time, intraoperative bleeding, lymph node dissection and total postoperative chest drainage were compared between the two groups. Results: operation time, intraoperative bleeding volume, postoperative hospitalization, number of lymph nodes dissection, total chest drainage after operation, and drainage tube indwelling time were compared between the two groups. Conclusion: this study shows that the anatomic right lobectomy with single hole method is equivalent to the three-hole method in each observation index. And does not affect the mediastinal lymph node clearance rate and does not prolong the postoperative hospital stay, can be further studied in clinical, but because the number of cases in this article is relatively small. Hope to accumulate more relevant cases after a more in-depth study. Conditional hospitals in clinical practice, in the premise of ensuring the safety of patients. It is possible to select suitable lung cancer patients with flexible three-hole or single-hole approach of dissecting right upper lobectomy under total thoracoscope to further promote the popularization and development of minimally invasive treatment for lung cancer.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R734.2

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