论文部分内容阅读
目的探讨胸腔镜下肺癌根治术治疗早期非小细胞肺癌(NSCLC)的疗效。方法 174例早期NSCLC患者,按照手术方法不同分为实验组和对照组,各87例。实验组采用胸腔镜下肺癌根治术治疗,对照组采用常规开胸肺癌根治术治疗。比较两组患者手术情况、术后并发症发生率和术后生存情况。结果实验组手术时间、淋巴结清扫数量和组数与对照组比较差异无统计学意义(P>0.05),术中出血量、引流管放置时间、术后总引流量、输血量均低于对照组,差异有统计学意义(P<0.05或0.01);术后乳糜胸、肺不张、气胸、胸腔积液和切口感染等并发症发生率(0、0、0、2.30%、0)均低于对照组(6.90%、8.05%、6.90%、10.34%、6.90%)(P<0.05);经2年定期随访,实验组生存率为89.66%,对照组为85.06%,比较差异无统计学意义(P>0.05)。结论胸腔镜下肺癌根治术治疗早期NSCLC手术创伤小,术后并发症发生率低,值得临床推广。
Objective To investigate the effect of thoracoscopic radical resection of lung cancer on early non-small cell lung cancer (NSCLC). Methods A total of 174 patients with early stage NSCLC were divided into experimental group and control group according to different surgical methods, each of 87 cases. The experimental group was treated by thoracoscopic radical resection of lung cancer and the control group by conventional radical thoracotomy for lung cancer. The operation conditions, postoperative complications and postoperative survival were compared between the two groups. Results The operation time, number of lymph node dissection and number of groups in the experimental group were not significantly different from those in the control group (P> 0.05). The amount of bleeding during operation, drainage tube placement time, postoperative total drainage and blood transfusion were all lower than those in the control group (P0.05 or 0.01). The incidence of postoperative complications such as chylothorax, atelectasis, pneumothorax, pleural effusion and incision infection were all lower (0,0,0,2.30%, 0) In the control group (6.90%, 8.05%, 6.90%, 10.34%, 6.90%) (P <0.05). After 2 years regular follow-up, the survival rate was 89.66% in the experimental group and 85.06% in the control group, with no statistical difference Significance (P> 0.05). Conclusions Video-assisted thoracoscopic radical resection of lung cancer is a safe and effective method for the treatment of early-stage NSCLC with less trauma and less postoperative complications. It is worthy of clinical promotion.