本文選題：非小細(xì)胞肺癌　切入點(diǎn)：胸腔鏡手術(shù)　出處：《大連醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:通過對(duì)比三種不同的手術(shù)方式,進(jìn)一步探討單孔胸腔鏡肺葉切除術(shù)治療早期非小細(xì)胞肺癌的臨床效果及應(yīng)用價(jià)值。方法:回顧性分析2014年11月至2016年12月大連醫(yī)科大學(xué)附屬第二醫(yī)院胸外1科劉主任治療組中采用胸腔鏡肺葉切除術(shù)治療的早期非小細(xì)胞肺癌患者90例。其中,采用單孔胸腔鏡下肺葉切除術(shù)患者30例(單孔組),采用單操作孔胸腔鏡肺葉切除術(shù)患者30例(雙孔組)采用3孔法胸腔鏡下肺葉切除術(shù)患者30例(3孔組),90例患者術(shù)前臨床分期均為Ⅰ期。利用統(tǒng)計(jì)學(xué)比較三組患者的手術(shù)時(shí)間、術(shù)中出血量、淋巴結(jié)清掃組數(shù)、術(shù)后置管時(shí)間、術(shù)后第3天疼痛評(píng)分、術(shù)后并發(fā)癥、術(shù)后住院天數(shù)、總住院費(fèi)用、患者自述手術(shù)滿意度。結(jié)果:三組患者的性別、年齡、手術(shù)部位、病理類型、術(shù)后TNM分期等一般臨床資料差異無統(tǒng)計(jì)學(xué)意義(P0.05)。在淋巴結(jié)清掃組數(shù)、術(shù)后并發(fā)癥、總住院費(fèi)用、患者自訴手術(shù)滿意度方面亦無統(tǒng)計(jì)學(xué)意義(P0.05)。但在手術(shù)時(shí)間、術(shù)中出血量、術(shù)后置管時(shí)間、術(shù)后第3天疼痛評(píng)分、術(shù)后住院時(shí)間方面具有統(tǒng)計(jì)學(xué)意義(P0.05),且單孔組在這些方面均小于雙孔組與3孔組。結(jié)論:單孔胸腔鏡下肺葉切除術(shù)治療早期非小細(xì)胞肺癌的微創(chuàng)性優(yōu)于其他兩種術(shù)式,其具有更加明顯的創(chuàng)傷小、術(shù)后疼痛輕、恢復(fù)快等微創(chuàng)特點(diǎn),故值得在臨床上推廣學(xué)習(xí)應(yīng)用。其優(yōu)點(diǎn)與缺點(diǎn)共存,在充分了解每個(gè)患者病情特點(diǎn)的基礎(chǔ)上選擇適合每個(gè)患者自身的微創(chuàng)術(shù)式,做到個(gè)體化微創(chuàng)治療。
[Abstract]:Objective: to study the clinical effect and application value of single-hole thoracoscopic lobectomy in the treatment of early non-small cell lung cancer (NSCLC).Methods: from November 2014 to December 2016, 90 patients with early non-small cell lung cancer (NSCLC) treated by thoracoscopic lobectomy were retrospectively analyzed.Of which,30 patients underwent single hole thoracoscopic lobectomy (single hole group), 30 patients with single hole thoracoscopic lobectomy (double hole group), 30 patients with 3 holes thoracoscopic lobectomy group (30 patients with 3 holes group) and 90 patients with pulmonary lobectomy with single hole thoracoscopic lobectomy group (double hole group).The preoperative clinical stages were all stage 鈪，

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