胸腔镜手术治疗非小细胞肺癌临床效果
|
摘要
目的观察自主呼吸麻醉下单操作孔胸腔镜手术治疗非小细胞肺癌的临床效果。方法选定2017年9月—2018年9月本院收治的非小细胞肺癌患者92例作为研究对象,分组原则以入院顺序奇偶性为主,将其分为对照组(46例,行非气管插管自主呼吸麻醉、单操作孔胸腔镜下肺叶切除和系统淋巴结清扫术)与试验组(46例,行气管插管全身麻醉、多孔胸腔镜下肺叶切除和系统淋巴结清扫术),比较两组患者的术后并发症、术后相关指标。结果试验组患者的临床并发症发生率(13.04%)较对照组(32.60%)低,试验组术后相关指标较对照组低,差异具有统计学意义(P <0.05)。结论非小细胞肺癌行非气管插管自主呼吸麻醉、单操作孔胸腔镜下肺叶切除和系统淋巴结清扫术是安全可行的。
Objective To observe the clinical effect of single-port thoracoscopic surgery under autonomous respiratory anesthesia for nonsmall cell lung cancer(NSCLC). Methods 92 patients with non-small cell lung cancer admitted to our hospital from September 2017 to September 2018 were selected as the study subjects. The principle of grouping was parity of admission sequence. The patients were divided into control group(46 cases underwent non-tracheal intubation spontaneous respiratory anesthesia, single-hole thoracoscopic lobectomy and systemic lymph node dissection) and experimental group(46 cases underwent tracheal intubation general anesthesia, porous thoracoscopic lobectomy and systemic lymph node dissection). The postoperative complications and related indicators were compared between the two groups. Results The incidence of clinical complications in the experimental group(13.04%) was lower than that in the control group(32.60%) and the related indexes in the experimental group were lower than those in the control group, the difference was statistically significant(P < 0.05). Conclusion It is safe and feasible for non-small cell lung cancer to undergo non-tracheal intubation, autonomous breathing anesthesia, single-hole thoracoscopic lobectomy and systematic lymphadenectomy.
Objective To observe the clinical effect of single-port thoracoscopic surgery under autonomous respiratory anesthesia for nonsmall cell lung cancer(NSCLC). Methods 92 patients with non-small cell lung cancer admitted to our hospital from September 2017 to September 2018 were selected as the study subjects. The principle of grouping was parity of admission sequence. The patients were divided into control group(46 cases underwent non-tracheal intubation spontaneous respiratory anesthesia, single-hole thoracoscopic lobectomy and systemic lymph node dissection) and experimental group(46 cases underwent tracheal intubation general anesthesia, porous thoracoscopic lobectomy and systemic lymph node dissection). The postoperative complications and related indicators were compared between the two groups. Results The incidence of clinical complications in the experimental group(13.04%) was lower than that in the control group(32.60%) and the related indexes in the experimental group were lower than those in the control group, the difference was statistically significant(P < 0.05). Conclusion It is safe and feasible for non-small cell lung cancer to undergo non-tracheal intubation, autonomous breathing anesthesia, single-hole thoracoscopic lobectomy and systematic lymphadenectomy.
引文
[1]方子文,方万强,阮玲玲,等.自主呼吸麻醉下单操作孔胸腔镜手术治疗非小细胞肺癌临床分析[J].中华实用诊断与治疗杂志,2018,32(10):1019-1021
[2]朱曙生,范骏,周悦,等.全胸腔镜支气管袖式肺叶切除术治疗中央型肺癌的疗效[J].江苏医药,2016,42(24):2692-2695.
[3]郑春辉,陈晓美,涂韶松.Ⅰ期非小细胞肺癌患者胸腔镜手术后发生并发症的相关因素研究[J].现代实用医学,2018,30(8):1047-1049.
[4]王大伟,吴彦峥,杨广义.电视辅助胸腔镜手术与后外侧开胸手术对早期非小细胞肺癌患者术后免疫功能的影响[J].临床肺科杂志,2018,23(7):1198-1201.
[5]沈玉光,魏祯瑶,杜永松,等.单操作孔胸腔镜手术治疗非小细胞肺癌48例临床分析[J].中国社区医师,2018,34(18):52,54.
[6]王献,张灿斌,李纪远,等.胸腔镜手术与传统开胸术对中老年非小细胞肺癌患者肺功能及血糖水平的影响[J].中国老年学杂志,2018,38(11):2652-2654.
[7]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):82-85.
[8]随志辉,朱胜,王鸿,等.微胸引管在非小细胞肺癌胸腔镜手术中的应用[J].安徽医学,2018,39(4):486-487.
[9]樊纪丹,王霄霖,杨岷,等.电视胸腔镜手术对老年非小细胞肺癌患者术后心肺并发症的影响[J].陕西医学杂志,2017,46(10):1375-1376,1414.
[10]徐凯英,王思桦,王建军.早期非小细胞肺癌电视辅助胸腔镜手术淋巴结清扫进展[J].临床外科杂志,2017,25(7):556-558.
[11]官廷华,姜建青,俞永康,等.胸腔镜手术治疗非小细胞肺癌患者的近期疗效及对血清Pentraxin-3、HE4水平的影响[J].疑难病杂志,2017,16(3):246-250.
[12]尹逊亮,周勇安,赵宁,等.单孔及多孔法胸腔镜手术治疗周围型非小细胞肺癌术后并发症的病例对照研究[J].中国胸心血管外科临床杂志,2016,23(11):1044-1049.
[2]朱曙生,范骏,周悦,等.全胸腔镜支气管袖式肺叶切除术治疗中央型肺癌的疗效[J].江苏医药,2016,42(24):2692-2695.
[3]郑春辉,陈晓美,涂韶松.Ⅰ期非小细胞肺癌患者胸腔镜手术后发生并发症的相关因素研究[J].现代实用医学,2018,30(8):1047-1049.
[4]王大伟,吴彦峥,杨广义.电视辅助胸腔镜手术与后外侧开胸手术对早期非小细胞肺癌患者术后免疫功能的影响[J].临床肺科杂志,2018,23(7):1198-1201.
[5]沈玉光,魏祯瑶,杜永松,等.单操作孔胸腔镜手术治疗非小细胞肺癌48例临床分析[J].中国社区医师,2018,34(18):52,54.
[6]王献,张灿斌,李纪远,等.胸腔镜手术与传统开胸术对中老年非小细胞肺癌患者肺功能及血糖水平的影响[J].中国老年学杂志,2018,38(11):2652-2654.
[7]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):82-85.
[8]随志辉,朱胜,王鸿,等.微胸引管在非小细胞肺癌胸腔镜手术中的应用[J].安徽医学,2018,39(4):486-487.
[9]樊纪丹,王霄霖,杨岷,等.电视胸腔镜手术对老年非小细胞肺癌患者术后心肺并发症的影响[J].陕西医学杂志,2017,46(10):1375-1376,1414.
[10]徐凯英,王思桦,王建军.早期非小细胞肺癌电视辅助胸腔镜手术淋巴结清扫进展[J].临床外科杂志,2017,25(7):556-558.
[11]官廷华,姜建青,俞永康,等.胸腔镜手术治疗非小细胞肺癌患者的近期疗效及对血清Pentraxin-3、HE4水平的影响[J].疑难病杂志,2017,16(3):246-250.
[12]尹逊亮,周勇安,赵宁,等.单孔及多孔法胸腔镜手术治疗周围型非小细胞肺癌术后并发症的病例对照研究[J].中国胸心血管外科临床杂志,2016,23(11):1044-1049.