倾向性评分匹配后机器人辅助与电视辅助胸腔镜手术的临床效果比较

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中图分类号 R734.2 文献标识码:A 文章编号2096-7721(2025)07-1208-05
AbstractObective:Tanalyzetheefectofrobot-assted thoracosopicsurgery (RAS)versus videoasisted toracosopicsurgery (VATS)nsurgicaloutcomesafter propensityscore matching (PSM).Methods:364 lungcancer patients hounderwent surgeryatthe SecondAfflitedHospitalofAirFore MedcalUniversityfromJune2023toAugust2O24 wereselectedanddivdedintoteRASgroup ! n =210)andtheVA(54)goup.Gealdataccalaracteists,puoarfutiodugicalicatorsreed betweenthetogoupseforeandafterM.ResultsAftereliatingofouningfactors,50patientpairsweresucsfullyatd via 1:1 PSM.Nosignificantdiferences ingeneraldata,clinicalcharacteristics,orpulmonaryfunctionwereobservedaftermatching (P>0.05) .Comparisonofoperativetime,numberoflymphnodedisscted/samplingcount,postoperativedrainagevolume,catheterization time,lengthofhospitalstayandcomplicationratesbetweenthetwogroupsshowednostatisticallsignificantdiferences( P> 0.05). However,theRATSgoupshowedsignificantlylsintraoperativebloolossadfewerconversionstothracotomytantheVASgroup (P<0.05) .Conclusion:Asaminimallinvasive approach,RATS hasadvantages inreducing intraoperativebleedingandconversion ratesduringungcancersurgeryitcanectivelylowersurgicalisksndimproepatintprogosis,terebyafiingisiacy and safety.
KeyWordsProesityScoreMatchng;RoboasistedhracocoicSurgery;Videasistedoracosopicurgery;ClincalEacy
原发性肺癌作为我国常见的恶性肿瘤之一,其发生率呈逐年上升趋势[1-3]。(剩余8780字)