摘要
目的比较肺癌治疗中胸腔镜手术和传统开胸手术的不同应用效果。方法随机将该院2016年1月—2019年5月60例肺癌患者分为两组,其中30例肺癌患者接受胸腔镜手术治疗,视作观察组,另外30例肺癌患者接受传统开胸手术治疗,视作对照组,比较两组手术情况、术后并发症发生情况、术后1年生存率。结果观察组肺癌根治率为93.33%,对照组根治率96.67%,差异无统计学意义(χ~2=0.547,P>0.05),观察组手术时间短于对照组,术中出血量、术后引流量少于对照组(P<0.05);观察组首次下床活动时间、引流管留置时间、住院时间短于对照组(P<0.05),观察组术后1年生存率为70.00%,对照组术后1年生存率73.33%,差异无统计学意义(χ~2=0.130,P>0.05);观察组术后并发症发生率为10.00%,对照组术后并发症发生率33.33%,差异有统计学意义(χ~2=4.812,P<0.05)。结论胸腔镜手术治疗肺癌患者能够提升手术质量,减少术后并发症,提升术后1年生存率,较传统开胸手术更有应用价值。
Objective To compare the different effects of thoracoscopic surgery and traditional thoracotomy in the treatment of lung can-cer.Methods Sixty patients with lung cancer from January 2016 to May 2019 were the hospital randomly divided into two groups.A-mong them,30 patients with lung cancer underwent thoracoscopic surgery and were treated as observation group.Another 30 patients with lung cancer underwent traditional thoracotomy as a control group,the operation status,postoperative complications,and 1-year survival rate of the two groups were compared.Results The cure rate of lung cancer in the observation group was 93.33%,and the cure rate in the control group was 96.67%,the difference was statistically significant(χ~2=0.547,P>0.05).The operation time of the observation group was shorter than that of the control group.The intraoperative blood loss and postoperative drainage were less than the control group(P<0.05);the time of first going out of bed in the observation group,the indwelling time of the drainage tube,and the hospitalization time were shorter than the control group(P<0.05).The 1-year survival rate of the observation group was 70.00%,and the 1-year survival rate of the control group of 73.33%,the difference was statistically significant(χ~2=0.130,P>0.05);the postoperative complication rate was 10.00%in the observation group and 33.33%in the control group,the difference was statistically significant(χ~2=4.812,P<0.05).Conclusion Thoracoscopy for lung cancer patients can improve the quality of surgery,reduce postoperative complica-tions,and improve the 1-year survival rate,which is more valuable than traditional thoracotomy.
作者
魏飞
WEI Fei(Department of Thoracic Surgery,Xuyi People's Hospital,Xuyi,Jiangsu Province,211700 China)
出处
《世界复合医学》
2020年第1期61-63,共3页
World Journal of Complex Medicine
关键词
胸腔镜
传统开胸手术
肺癌
治疗
疗效
Thoracoscopic surgery
Traditional thoracotomy
Lung cancer
Treatment
Efficacy
