经剑突下人路和经肋间人路单孔胸腔镜胸部手术的临床效果比较

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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

随着医疗技术的飞速发展，胸腔镜手术在胸部疾病的治疗中得到广泛应用，其以创伤小、恢复快、并发症少等优势，成为胸部外科手术的主流选择[1]。（剩余6375字）