摘要
目的探讨全胸腔镜治疗肺癌淋巴结清扫的临床应用价值。方法选取我医院早期肺癌患者50例,根据手术方式的不同分为两组,甲组为采用全胸腔镜手术的25例,乙组是传统开胸手术的25例,比较两组患者淋巴结清扫组数、手术持续时间、术中出血量、术后住院时间、术后并发症发生率。结果两组患者的淋巴结清扫组数、术中出血量及术后并发症发生率比较,无明显差异,术后的第1、3天时间点乙组疼痛评分高于甲组,甲组术后置管引流时间明显少于乙组。结论全胸腔手术的手术持续时间、术中出血量、术后住院时间及术后并发症发生率明显降低,可以给肺癌患者推荐此治疗方法。
Objective To explore the total thoracoscopic treatment of lung cancer with lymph node dissection and clinical application value. Method Select I early hospital 50 cases of lung cancer, according to the different ways of operation were divided into two groups, group A for the total thoracoscopic operation for 25 cases in group B, is a traditional thoracotomy operation in 25 patients, comparing the two groups of patients with lymph node dissection group number, duration of operation, intraoperative blood loss, postoperative duration of hospital stay, postoperative complications. Results The two groups of patients with lymph node dissection group number, the amount of intraoperative bleeding and postoperative complication rate comparison, no difference, postoperative first, 3 days to point B pain score higher than that of group A, a rear tube drainage surgery was significantly shorter than that of group B. Conclusion Total thoracic operation duration of operation, intraoperative blood loss, postoperative hospital stay and postoperative complication rate was significantly lower in patients with lung cancer, to recommend this treatment method.
出处
《中国医药指南》
2013年第3期402-403,共2页
Guide of China Medicine
关键词
全胸腔镜
肺癌
并发症
疼痛
淋巴结清扫
Total thoracoscopic
Lung cancer
Complication
Pain
Lymph node dissection
