单孔胸腔镜肺段切除术与单孔胸腔镜肺楔形切除术治疗老年早期NSCLC患者的效果比较

doi:10.3969/j.issn.1671-7171.2025.09.006

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摘要【目的】比较单孔胸腔镜肺段切除术与单孔胸腔镜肺楔形切除术治疗老年早期非小细胞肺癌(NSCLC)患者的临床效果。【方法】前瞻性选择2022年6月至2024年4月兰考县中心医院胸外科收治的98例老年早期NSCLC患者的临床资料,根据手术方法的不同将患者分为观察组(行单孔胸腔镜肺段切除术治疗)和对照组(行单孔胸腔镜肺楔形切除术治疗),每组49例。比较两组快速病理检测结果、围手术期指标、术后疼痛情况及并发症发生情况。【结果】两组淋巴结快速病理检测情况比较,差异无统计学意义(P>0.05)。观察组手术时间、术后引流管留置时间均长于对照组,术后引流量、术中出血量均大于对照组,差异有统计学意义(P<0.05)。两组患者术后9 h、18 h的视觉模拟评分法(VAS)评分均高于术后3 h,术后36 h的VAS评分均低于术后9 h、18 h,观察组术后9 h、18 h、36 h的VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后3个月、6个月的用力肺活量、最大呼气流量均高于对照组(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。【结论】单孔胸腔镜肺段切除术与单孔胸腔镜肺楔形切除术相比,更有利于改善NSCLC患者肺功能,可以更好地减轻患者术后疼痛,安全可靠。

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	许治国
	方泽民
	刘晓飞

关键词 ：癌, 非小细胞肺, 胸腔镜检查, 肺切除术, 老年人

Abstract：【Objective】 To compare the clinical effects of single-port thoracoscopic segmentectomy and single-port thoracoscopic wedge resection in the treatment of elderly patients with early-stage non-small cell lung cancer(NSCLC).【Methods】 The clinical data of 98 elderly patients with early-stage NSCLC admitted to the department of thoracic surgery of Lankao County Central Hospital from June 2022 to April 2024 were prospectively selected. According to different surgical methods, the patients were divided into the observation group(treated with single-port thoracoscopic segmentectomy) and the control group(treated with single-port thoracoscopic wedge resection), with 49 cases in each group. The results of rapid pathological examination, perioperative indicators, postoperative pain and incidence of complications were compared between the two groups.【Results】 There was no statistically significant difference in the results of rapid lymph node pathological examination between the two groups(P>0.05). The operation time and postoperative drainage tube indwelling time in the observation group were longer than those in the control group, and the postoperative drainage volume and intraoperative blood loss were greater than those in the control group, with statistically significant differences(P<0.05). The Visual Analogue Scale(VAS) scores of the two groups at 9 h and 18 h after surgery were higher than those at 3 h after surgery, and the VAS scores at 36 h after surgery were lower than those at 9 h and 18 h after surgery; the VAS scores of the observation group at 9 h, 18 h and 36 h after surgery were lower than those of the control group, with statistically significant differences(P<0.05). The forced vital capacity and peak expiratory flow of the observation group at 3 months and 6 months after surgery were higher than those of the control group(P<0.05). There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).【Conclusion】 Compared with single-port thoracoscopic wedge resection, single-port thoracoscopic segmentectomy is more conducive to improving lung function in NSCLC patients, can better alleviate postoperative pain, and is safe and reliable

Key words： Carcinoma, Non-Small-Cell Lung Thoracoscopy Pneumonectomy Aged

收稿日期: 2025-07-12

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R734.2

引用本文:

许治国, 方泽民, 刘晓飞. 单孔胸腔镜肺段切除术与单孔胸腔镜肺楔形切除术治疗老年早期NSCLC患者的效果比较[J]. 医学临床研究, 2025, 42(9): 1509-1511.
XU Zhiguo, FANG Zemin, LIU Xiaofei. Comparison of the Effects of Single-Port Thoracoscopic Segmentectomy and Single-Port Thoracoscopic Wedge Resection in Elderly Patients with Early-Stage NSCLC. JOURNAL OF CLINICAL RESEARCH, 2025, 42(9): 1509-1511.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.09.006 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I9/1509

[1] 姬生威,王萍. NSCLC根治性切除术后复发转移多因素Logistic分析及预测模型的构建与验证[J].中国现代手术学杂志,2022,26(5):360-364.
[2] 钱鹏,朱峰,马冬春,等. 接受单孔胸腔镜肿瘤切除术治疗非小细胞肺癌患者术后出现持续性咳嗽的危险因素[J].山东医药,2021,61(9):74-76.
[3] 宁光耀,陈杨,夏万里,等. 单孔胸腔镜肺楔形切除术和单孔胸腔镜解剖性肺段切除术治疗早期肺癌的效果[J].局解手术学杂志,2023,32(1):36-40.
[4] 郝延红,龚嫚. 单孔胸腔镜肺段切除术与肺叶切除术治疗早期非小细胞肺癌的临床观察[J].贵州医药,2022,46(8):1191-1192.
[5] ETTINGER D S,AISNER D L,WOOD D E, et al. NCCN guidelines insights: Non-Small Cell Lung Cancer,Version 5.2018[J].J Natl Compr Canc Netw,2019, 16(7):807-821.
[6] 袁应选,李桥涛,袁琳. 同步放化疗联合DC-CIK细胞免疫治疗对NSCLC患者的预后及其肿瘤标志物的影响[J].医学临床研究,2022,39(8):1202-1205.
[7] 刘鑫,王晓坤.胸腔镜手术与开胸手术治疗NSCLC的疗效及对患者血清炎性因子水平的影响[J].医学临床研究,2021,38(8):1241-1243.
[8] 邓修平,彭守兴,冯再辉,等. 单孔或多孔胸腔镜下肺叶切除术治疗非小细胞肺癌临床对比分析[J].解放军医学杂志,2020,32(12):1-4.
[9] 颜建华,向泓宪,张志功,等. 单孔胸腔镜后入路解剖性右上肺叶切除术[J].中国微创外科杂志,2020,20(8):696-699.
[10] 于文江,岳志,曹海伦,等. 单孔胸腔镜肺段切除术在治疗Ⅰa期非小细胞肺癌中的应用效果[J].临床和实验医学杂志,2021,20(1):46-49.
[11] 李田,王高祥,徐世斌,等. 单孔胸腔镜肺段切除术治疗早期非小细胞肺癌的临床研究[J].安徽医科大学学报,2021,56(11):1816-1819.
[12] 刘彦军. 早期非小细胞肺癌患者经单孔全胸腔镜解剖性肺段切除术治疗疗效评价[J].中国药物与临床,2021,21(11):1921-1923.
[13] 张博友,刘宇康,钱邦伦,等. 单孔胸腔镜解剖性肺段切除与肺叶切除治疗Ⅰa期非小细胞肺癌近期疗效比较[J].中国现代手术学杂志,2019,23(5):354-359.
[14] 曾敏,徐利强. 单孔胸腔镜下肺段切除术治疗非小细胞肺癌的疗效观察[J].现代肿瘤医学,2020,28(20):3560-3564.
[15] 汤隽,赵俊刚,郑福爽,等. 老年外周型早期非小细胞肺癌行单孔胸腔镜下肺段切除术的疗效及安全性[J].中国老年学杂志,2018,38(13):3130-3131.