Comparison of short-term clinical efficacy between single hole and two hole thoracoscopic surgery in the treatment of lung cancer
单孔与两孔胸腔镜手术治疗肺癌的近期临床疗效比较

摘要

目的 探究肺癌行单孔与两孔胸腔镜手术治疗的近期临床疗效。方法 文章研究人员选取时间2021年2月到2022年5月，共60人，随机分成研究组和对照组，组间患者分别应用单孔胸腔镜和两孔胸腔镜疗法，每组30人，比对最终疗效。结果 术后研究组各项疼痛指数更低，P＜0.05；研究组患者手术过程中出血量和手术用时均短于对照组，术后各项指标的恢复情况也普遍优于对照组；术后研究组CA21-1水平更高（P＜0.05），EGFR水平更低；研究组病人胸腔镜术后并发症发生率明显低于对照组，P＜0.05。结论 肺癌患者行单孔胸腔镜手术中创伤相对较小，术后恢复效率较高，但单孔和两孔手术疗法都存在一定弊端，需要在以后的临床实践中不断攻克。

Abstract

Objective To explore the short-term clinical efficacy of single hole and two hole thoracoscopic surgery for lung cancer.
Methods the researchers selected 60 patients from February 2021 to may 2022 and randomly divided them into study group and control group. The patients in each group were treated with single hole thoracoscopy and two hole thoracoscopy, with 30 patients in each group. The final curative effect was compared.
Results the pain indexes of the study group were lower after operation (P<0.05); The amount of bleeding and operation time in the study group were shorter than those in the control group, and the recovery of postoperative indicators was generally better than that in the control group; The level of ca21-1 was higher and the level of EGFR was lower in the study group after operation (P<0.05); The incidence of complications in the study group was significantly lower than that in the control group (P<0.05).
Conclusion   the trauma of lung cancer patients undergoing single hole thoracoscopic surgery is relatively small, and the postoperative recovery efficiency is high, but both single hole and two hole surgery have certain disadvantages, which need to be overcome in future clinical practice.