摘要
目的探讨小切口开胸与传统开胸手术对肺癌患者的影响。方法选择80例肺癌患者分为对照组和观察组,对照组患者给予传统的开胸术治疗,观察组给予小切口开胸手术治疗,比较2组患者术中出血量、术后疼痛情况、手术时间以及并发症的情况。结果观察组患者的术中出血量、引流量、手术时间、切口长度、住院时间与对照组相比具有明显优势(P<0.05),观察组患者术后1周以及4周肺功能各项指标均有所提升,与对照组相比,观察组FVC、FEV 1.0、MVV各项指标具有明显优势,差异有统计学意义(P<0.05)。2组患者术后疼痛程度均呈现下降的趋势,且观察组疼痛程度与对照组相比具有明显的优势,差异具有统计学意义(P<0.05)。对照组并发症发生率为12.5%,观察组并发症发生率为2.5%,2组并发症发生率相比差异具有统计学意义(P<0.05)。结论小切口开胸手术治疗肺癌对患者的手术损伤小,手术时间短,术中失血量、术后引流量较少,有效降低了术后的并发症和疼痛,提高了患者生存的质量。
Objective To investigate the effect of small incision thoracotomy on postoperative complications of lung cancer patients. Methods 80 patients with lung cancer were randomly divided into study group （40 cases） and control group （40 cases）. Patients in the control group were treated with traditional thoracotomy, Patients in the observation group were treated with small incision thoracotomy, and the hemorrhages quantities, postoperative drainage, the closing time, the length of incision, thepostoperative pain of the two groups were compared. Results In the observation group of patients with intraoperative blood loss, drainage, operation time, length of incision, hospitalization time and the control group compared with obvious advantages （P〈0.05） . Observation group of patients after 1 weeks and 4 weeks of pulmonary function indicators were improved, compared with the control group, the observation group FVC, FEV 1.0, MVV indicators have obvious advantages, the difference has statistical significance （P〈0.05） . The postoperative pain degree of the two groups showed a downward trend, and the observation group had obvious advantages compared with the control group, the difference was statistically significant （P〈0.05） . The complication rate of control group was 12.5%, the complication rate of observation group was 2.5%, the difference was statistically signifiant between the two groups （P〈0.05）. Conclusion Small incision thoracotomy in the treatment of lung cancer patients with less surgical injury, less operation time, less blood loss after operation, effectively reduce the postoperative complications and pain, improve the quality of life of patients.
出处
《当代医学》
2016年第35期15-17,共3页
Contemporary Medicine
关键词
肺癌
小切口开胸手术
影响
效果
Iung cancer
Small incision thoracotomy
Influence
Effect
