經(jīng)劍突下人路和經(jīng)肋間人路單孔胸腔鏡胸部手術(shù)的臨床效果比較

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[Abstract]Objective：To analyze the clinical efficacy of subxiphoid approach and intercostal approach for single-hole thoracoscopic thoracic surgery.Method：Aretrospective analysis was conducted on8O patients with chest diseases admited to Ganzhou Fifth People's Hospital from January 2O23 to December 2024.According to the diferent approaches，the patients treated with single-port thoracoscopic surgery via intercostal approach were included in control group （ n =40），and the patients treated with single-port thoracoscopic surgery via subxiphoid approach were set as experimental group （ n =40）.The perioperative indexes and pain status （VAS scores） at 1，2 and 3 dafter surgery were compared between the two groups，andthe complications in the two groups were counted. Result： The surgical time，postoperative analgesic use time and hospitalization time in the experimental group were significantly shorter than those inthe control group，the intraoperative blood loss and drainage volume in the experimental group were significantly less than those in the control group，and the postoperative extubation time in the experimental group was significantly earlier than that in the control group （ P <0.05），and the number oflymph node dissection between the two groups had no significant difference（ P >0.05）.The VASscoresin thetwo groupswas decreased graduallyat1，2，3d after surgery （ P? <0.05），and theVAS scoresin experimental group at different time points were lower than those in control group （ P <0.05）. The incidence of complications in experimental group was lower than that in control group，but there was no statistical significance between two groups （ P> 0.05）.Conclusion： Compared with single-port thoracoscopic thoracic surgery via intercostal approach， via subxiphoid approach can more effctivelyshorten the postoperative hospitalization time and alleviate the degree of postoperative pain.

[Keywords] Subxiphoid approach Intercostalapproach Single-port thoracoscopic Thoracic surgery

隨著醫(yī)療技術(shù)的飛速發(fā)展，胸腔鏡手術(shù)在胸部疾病的治療中得到廣泛應(yīng)用，其以創(chuàng)傷小、恢復(fù)快、并發(fā)癥少等優(yōu)勢，成為胸部外科手術(shù)的主流選擇[1]。（剩余6375字）