摘要
目的比较肺癌腋下小切口肺癌根治术与标准后外侧切口肺癌根治术的效果。方法选择2008年6月-2009年6月92例肺癌患者随机分为两组,观察组46例患者采用腋下小切口肺癌根治术,对照组46例患者采用标准后外侧切口肺癌根治术,观察两组患者平均手术时间、平均开胸时间、平均关胸时间、术中出血量及患者3年生存率。结果观察组平均手术时间、平均开胸时间、平均关胸时间明显短于对照组,术中出血量明显少于对照组,两组比较差异有统计学意义(P<0.05)。两种根治术患者1～3年生存率,两组比较差异无统计学意义(P>0.05)。结论两种根治术治疗后患者远期效果相当,但腋下小切口肺癌根治术创伤明显小于标准后外侧切口肺癌根治术,但要严格掌握手术适应症才能取得预期的效果。
Objective To compare the treatment effect of alar lung cancer small incision in lung cancer with the standard posterolateral incision.Methods From June 2008 to June 2009,92 cases of lung cancer patients were chosen and randomly divided into two groups,the observation group of 46 patients under the small incision vesssed lung cancer,46 cases of control group treated with standard posterolateral incision.The average operation time,average opening or closing time,chest peri-operative bleeding and 3-year survival of patients were recorded and analyzed.Results The observation group average operation time,average opening or closing time were shorter than those of the control group obviously,peri-operative bleeding was less than that of the control group,the difference was statistically significant（P0.05）.The 1-3 years of survival was not statistically different between the two groups（P0.05）.Conclusion The long-term outcomes of the two operations were equal,but trauma was obviously less in axillary small incision than that in standard posterolateral incision.The operation indications should be controlled strictly to achieve desired effects.
出处
《中华全科医学》
2013年第3期396-397,共2页
Chinese Journal of General Practice
关键词
肺癌
肺癌根治术
术式比较
Lung cancer
Radical operation
Comparison of operations
