摘要
目的：观察在胸腔镜下行肺癌根治术的治疗效果及安全性。方法：选取2003年1月～2014年12月收治的肺癌患者128例，随机分为治疗组与对照组，治疗组行胸腔镜肺癌根治术治疗，对照组行传统开胸肺癌根治术，对比分析两组患者手术治疗效果、并发症发生情况以及随访期间复发和转移情况。结果：两组患者均成功顺利完成手术，未发生围手术死亡；治疗组患者手术时间明显短于对照组（P〈0．05）；治疗组切口长度、术中出血量、术后24h胸腔引流量、下床活动时间、住院时间、术后24h疼痛评分均明显低于对照组（P〈0．05）；治疗组术后并发症发生率显著低于对照组（P〈0．05）；治疗组复发率和转移率稍低于对照组，比较差异均无统计学意义（均P〉0．05），至随访结束尚无1例死亡。结论：胸腔镜肺癌根治术创伤小、术后并发症发生率低，有利于患者早期康复，治疗效果确切，安全性高。
Objective： To observe efficacy and safety of radical resection of lung cancer under thoracoscope. Methods： A total of 128 cases with lung cancer admitted from January 2003 to December 2014 were selected, and randomly divided into treatment group and control group. Patients in treatment group were treated with radical resection of lung cancer under thoracoscope, while patients in control group were treated with opening traditional radical resection. The efficacy, complication, reoccurrence and metastasis were observed and compared. Results： All patients had successful surgery, without death. Surgery time of treatment group was significantly shorter （P〈0.05）. And incision length, bleeding volume during surgery, thoracic drainage volume 24 h after surgery, activity time, hospital stay and pain score 24 h after surgery were significantly lower in treatment group （P〈0.05）. The incidence of complication, reoccurrence and metastasis rate were significantly lower in treat- ment group （P〈0.05）. And no patient died till the end of follow-up. Conclusions： Radical resection of lung cancer under thora- coscope is of small trauma and low incidence of complication. It is of high efficacy and safety.
出处
《海南医学院学报》
CAS
2015年第10期1371-1374,共4页
Journal of Hainan Medical University
基金
湖南省科研条件创新专项(2013TT2023)~~
关键词
肺癌
胸腔镜
开胸肺癌根治术
Lung cancer
Thoracoscope
Opening traditional radical resection
