摘要
目的:探讨胸腔镜在肺癌根治治疗中的临床应用价值。方法:选取2009年6月至2012年1月间于我院行手术治疗的肺癌患者98例,按其手术治疗方法分为对照组(52例)和实验组(46例),对照组患者行传统开胸肺癌根治术,实验组患者行胸腔镜下肺癌根治术。观察两组患者各临床相关指标,并进行统计学对比分析。结果:实验组患者手术过程中淋巴结清扫数(15.23±4.28)同对照组(16.98±3.45)差异不明显,无统计学意义(P>0.05);手术切口长度实验组显著低于对照组(P<0.05),术中出血量实验组显著低于对照组(P<0.05),引流时间实验组显著低于对照组(P<0.05),疼痛评分实验组显著低于对照组(P<0.05)、住院时间实验组显著低于对照组(P<0.05);而对照组患者住院费用(41 582±415)元却明显少于实验组(63 357±327)元,组间差异具有统计学意义(P<0.05);实验组对照组并发症发生率4.35%,复发率4.35%,均明显优于对照组并发症发生率21.15%,复发率11.54%,组间差异有统计学意义(P<0.05)。结论:胸腔镜下行肺癌根治术临床疗效确切、安全、有效,患者创伤小、疼痛症状轻、术后病情恢复快,住院时间短,并发症发生率及复发率低,满意度高,值得推广应用。
Objective：To investigate the curative treatment of thoracoscopy in lung cancer in clinical applications.Methods：Selected the surgical treatment of lung cancer in 98 patients in our hospital from January 2010 to January 2013, According to their surgical treatment methods are divided into the control group （52 cases） and observation group （46 cases） and control group underwent conventional thoracotomy lung resection, the observation group underwent thoracoscopic resection of lung cancer were observed in patients with various clinical indicators and statistically analyzed.Results：The patients during surgery lymphadenectomy number （15.23 ± 4.28） with the control group （16.98±3.45） was not significantly different, was not statistically significant （P〉0.05）;observation group were incision length, operative time, blood loss amount of drainage time, postoperative pain, hospitalization time were significantly better than the control group, corresponding indicators, these differences between the two groups of patients surgical indicators were statistically significance （P〈0.05）;while the control group hospitalization costs （1 582±415） yuan was significantly less than the observation group （3 357± 327） million, a statistically significant difference between the groups （P〈0.05）;observation group and the control group, the complication rate 4.35%4.35%recurrence rate were significantly superior the incidence of complications in the control group 21.15%, 11.54%recurrence rate, the above differences between the groups were statistically significance （P〈0.05）.Conclusion：Thoracoscopic lung resection line clinical efficacy confirmed safe, effective, patient trauma, pain symptoms please, faster recovery after illness, shorter hospital stay, complications and recurrence rate, satisfaction is high, is worth promoting.
出处
《中国医药导刊》
2014年第1期56-57,59,共3页
Chinese Journal of Medicinal Guide
关键词
胸腔镜
肺癌
开胸手术
Thoracoscopy
Lung cancer
Thoracotomy
