摘要
目的观察电视胸腔镜下肺叶切除手术在非小细胞肺癌治疗中临床应用价值。方法选择2009年1月～2012年8月拟行手术治疗的非小细胞肺癌患者60例,随机分为观察组和对照组各30例。观察组采用电视胸腔镜下肺叶切除手治疗,对照组采用传统开胸肺叶切除术。结果观察组切口长度为(7.4±2.8)cm、术中出血量(201±75)ml、切除淋巴结(14±8)个、手术时间(220±55)min,对照组分别为(25.8±3.5)cm、(305±140)ml、(15±7)个、(202±50)min;两组切口长度、术中出血量比较,P均<0.05。观察组术后引流时间(2.2±1.4)d、镇痛时间(1.8±2.0)d、住院时间(7.6±2.9)d,对照组分别为(4.9±1.5)、(4.6±2.9)、(16.5±4.6)d;两组比较,P均<0.05。两组术后均随访1年以上,观察组死亡1例,1年存活率为96.7%;对照组死亡2例,1年存活率为93.3%;两组存活率比较,P>0.05。结论电视胸腔镜下肺叶切除术治疗非小细胞肺癌安全有效。
Objective To observe the VATS lobectomy clinical value in the treatment of non-small cell lung cancer.Methods October 2008 to October 2011,60 cases of non-small cell lung cancer patients who underwent surgical treatment,were randomly divided into observation group and the control group,30 patients in each.The observation group thoracoscopic lobectomy hand treatment,control group using the traditional thoracotomy lobe resection.Results incision length of the observation group（7.4±2.8）cm,blood loss（201±75）ml,the removal of lymph nodes（14±8）,operative time（220±55）min,control group（25.8±3.5）cm,（305±140）ml,（15±7）a,（202±50）min;two sets of incision length,blood loss,P0.05.Postoperative drainage time of the observation group（2.2±1.4）d,the analgesic time（1.8±2.0）d,length of hospital stay（7.6±2.9）d,the control group,respectively（4.9±1.5）,（4.6±2.9）,（16.5±4.6）d;groups,P0.05.Postoperative follow-up of more than one year,the observation group 1 died,1-year survival rate was 96.7%;control group,2 patients died,1-year survival rate was 93.3%;compare two sets of survival（P0.05）.Conclusion VATS lobectomy for non-small cell lung cancer is safe and effective.
出处
《四川医学》
CAS
2013年第5期650-652,共3页
Sichuan Medical Journal
关键词
电视胸腔镜
肺叶切除术
开胸手术
非小细胞肺癌
肺肿瘤
Video-assisted thoracoscopic
lobectomy
thoracotomy
non-small cell lung cancer
lung cancer
