摘要
目的探讨电视胸腔镜肺叶切除术(VATS)治疗非小细胞肺癌(NSCLC)的近期疗效及预后观察。方法选取2013年2月～2015年2月在我院就诊的非小细胞肺癌患者80例作为研究对象,根据手术方式分为电视胸腔镜肺叶切除术组(A组,40例)和传统手术组(B组,40例)。比较两组患者的手术情况(出血量、手术时间、淋巴结清扫数目、切口长度和术后引流量)、并发症发生率及随访情况的差异。结果两组患者术中出血量、手术时间和淋巴结清扫数目无明显差异;A组手术时间、切口长度合术后引流量优于B组,差异具有统计学意义(P<0.05);A组并发症发生率小于B组,差异具有统计学意义(P<0.05);两组患者的复发率、1年存活率和3年存活率比较,差异无统计学意义(P>0.05)。结论 VATS治疗非小细胞肺癌相对于传统手术有明显优势,值得临床推广运用。
Objective To investigate the short-term efficacy and prognosis of video-assisted thoracoscopic lobectomy （VATS） in the treatment of non-small cell lung cancer（NSCLC）. Methods 80 patients with non-small cell lung cancer who were treated in our hospital from February 2013 to February 2015 were enrolled. The patients were divided into video-assisted thoracoscopic lobectomy group（group A, 40 cases） and traditional surgery group （group B, 40 cases）. The differences in surgical status（bleed volume, operative time, number of lymph node dissection, length of incision, and postoperative drainage）, complication rate and follow-up were compared between the two groups. Results There were no significant differences in intraoperative blood loss, operation time and lymph node dissection between the two groups. The operation time, length of incision and drainage drainage in group A were better than those in group B（P〈0.05）. The complication rate in group A was less than that of group B, and the difference was statistically significant（P〈0.05）. There was no significant difference in recurrence rate, 1-year survival rate and 3-year survival rate between the two groups（P〉0.05）. Conclusion VATS has obvious advantages over traditional surgery in the treatment of non-small cell lung cancer, which is worthy of clinical application.
作者
汤成刚
季中华
TANG Chenggang;JI Zhonghua(Department of Thoracic and Cardiovascular Surgery,Shuyang County People＇s Hospital in Jiangsu Province,Shuyang 223600,China)
出处
《中国现代医生》
2018年第28期54-56,59,共4页
China Modern Doctor
关键词
电视胸腔镜肺叶切除术
非小细胞肺癌
淋巴清扫数目
Video-assisted thoracoscopic lobectomy
Non-small cell lung cancer
Number of lymphatic dissection
