电视胸腔镜辅助小切口肺叶切除术对早期非小细胞肺癌患者术后疼痛视觉模拟评分及康复进程的影响

目的探讨电视胸腔镜辅助小切口肺叶切除术对早期非小细胞肺癌（NSCLC）患者术后疼痛视觉模拟评分及康复进程的影响。 方法回顾分析2013年11月至2017年3月，河南博爱县人民医院心胸外科收治的85例早期NSCLC患者临床资料，根据不同术式分为观察组（43例）与对照组（42例）。观察组行电视胸腔镜辅助小切口肺叶切除术，对照组行传统开胸肺叶切除术。对比两组手术及术后恢复情况、术后1～5 d视觉模拟评分。 结果两组手术时长、淋巴结清扫数目比较，差异无统计学意义（均P＞005）。观察组术中出血较对照组少，术后引流时间及住院时间较对照组短，差异有统计学意义（P＜005）。观察组术后1～5 d视觉模拟评分均低于对照组，差异有统计学意义（P＜005）。 结论电视胸腔镜辅助下小切口肺叶切除术治疗早期非小细胞肺癌疗效显著，有利于促进恢复。

Effect of video assisted thoracoscopic assisting small incision lobectomy on postoperative pain visual analogue scale and rehabilitation in patients with early stage non small cell lung cancer

ObjectiveTo investigate the effect of video assisted thoracoscopic assisting small incision lobectomy on postoperative pain visual analogue scale (VAS) and rehabilitation in patients with early stage non small cell lung cancer (NSCLC).MethodsFrom November 2013 to March 2017, 85 patients with early NSCLC admitted to the Department of Cardiothoracic Surgery, Peoples Hospital of Boai County in Henan Province were divided into observation group (43 cases) and control group (42 cases) according to different surgical procedures. The patients in observation group were treated by video assisted thoracoscopic assisting small incision lobectomy. And the patients in control group were treated with conventional open lobectomy. The postoperative recovery and VAS scores were compared between the two groups during the 1st to 5th day after surgery.ResultsThere was no significant difference in the length of operation and lymph node dissection between the two groups (P>0.05). The intraoperative bleeding in the observation group was less than that in the control group. The postoperative drainage time and hospitalization time were shorter than those of control group significantly (P<0.05). The scores of VAS in observation group were lower than those of the control group during the 1st to 5th day after operation significantly (P<0.05).ConclusionsVideo assisted thoracoscopic assisting small incision lobectomy for early stage non small cell lung cancer is effective, which promotes the recovery of patients. ConclusionsVideo assisted thoracoscopic assisted small incision lobectomy for early stage non small cell lung cancer is effective and promotes recovery.