摘要
目的 比较电视胸腔镜肺癌根治术与常规肺癌根治术淋巴结清扫效果.方法 选取非小细胞肺癌患者120例,按照随机数字表法分为观察组60例和对照组60例.对照组采用常规肺癌根治术治疗,观察组采用电视胸腔镜肺癌根治术治疗.比较两组患者术后引流时间、术后下床时间、术后住院时间、淋巴结清扫数及转移阳性率、术后并发症发生情况.结果 观察组术后引流时间、术后下床时间和术后住院时间均短于对照组[（2.43±0.54）d比（5.82±1.35）d,（1.23±0.29）d比（3.87±0.75）d,（2.59±0.63）d比（6.92±1.27）d;t=18.059、25.430、23.658,均P＜0.05）];两组淋巴结清扫数差异无统计学意义（χ2=1.008,P＞0.05）;观察组淋巴结转移阳性率（51.67％）低于对照组（75.00％）（χ2=7.033,P＜0.05）;观察组术后并发症发生率（13.33％）低于对照组（33.33％）（χ2=6.708,P＜0.05）.结论 电视胸腔镜肺癌根治术治疗非小细胞肺癌患者淋巴结清扫效果优于常规肺癌根治术,值得研究.
Objective To compare the effect of lymph node dissection by VATS lung cancer resection surgery and conventional lung cancer surgery.Metnods 120 patients with non-small cell lung cancer were selected and randomly divided into observation group （n =60） and control group （n =60） according to the digital table.The control group was given conventional resection of lung cancer treatment,the observation group was assisted thoracoscopic lung resection treatment.The postoperative drainage,postoperative ambulation time,postoperative hospital stay,the number of lymph node metastasis and incidence rate of postoperative complications were observed.Results The time of postoperative drainage,get out of bed and postoperative hospital stay of the observation group were all shorter than those of the control group [（2.43 ± 0.54） d vs.（5.82 ± 1.35） d,（1.23 ± 0.29） d vs.（3.87 ± 0.75） d,（2.59 ± 0.63） d vs.（6.92 ± 1.27） d;t =18.059,25.430,23.658,all P 〈 0.05）].The lymph node dissection number of the two groups had no statistically significant difference（χ2 =1.008,P 〉 0.05）.The positive rate of lymph node metastasis in the observation group was lower than that in the control group（χ2 =7.033,P 〈 0.05）.The incidence rate of postoperative complication of the observation group was lower than that of the control group （χ2 =6.708,P 〈 0.05）.Conclusion Video-assisted thoracoscopic lung resection for non-small cell lung cancer patients with lymph node dissection is better than conventional lung surgery,and it is worthy of studying.
出处
《中国基层医药》
CAS
2017年第9期1329-1332,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胸腔镜检查
肺癌根治术
淋巴结清扫术
胸外科手术
电视辅助
Thoracoscopy
Routine resection of lung cancer
Lymphadenectomy
Thoracic surgery,Video-assisted
