摘要
目的分析早期非小细胞癌实施胸腔镜下肺癌根治术的临床疗效。方法研究对象选择2017年1月-2017年12月本院收治的早期非小细胞肺癌胸外科手术病例56例,并将其随机分为观察组与对照组,每组28例。对照组选择传统开胸手术治疗,观察组采用胸腔镜下肺癌根治术,比较两组患者术后的临床指标与并发症发生情况,判断治疗效果。结果在临床指标方面,观察组在手术时间、术中出血量、胸管留置时间和住院时间四项指标上均明显优于对照组;并发症发生情况方面,观察组出现了1例肺部感染与1例胸腔感染,而对照组出现2例肺部感染,3例气胸与3例胸腔感染,发生率方面观察组的7.1%明显低于对照组的28.6%。两组患者各项数据差异有统计学意义(P<0.05)。结论在早期非小细胞肺癌的治疗过程中,胸腔镜下肺癌根治术具有明显优势,患者临床指标控制程度较好,且并发症发生率较低,减少了对患者的损伤,更好地促进了患者的预后与恢复。
Objective To analyze the clinical efficacy of thoracoscopic radical resection for early non-small cell lung cancer.Methods 56 cases of thoracic surgery of early non-small cell lung cancer admitted to the hospital from January 2017 to December 2017 were selected as subjects,and they were randomly divided into the observation group and the control group,28 cases in each group.The control group was treated with traditional thoracotomy,and the observation group was treated with thoracoscopic radical resection of lung cancer.The clinical indicators and complication rate of the two groups were compared to determine the therapeutic effect.Results In terms of clinical indicators,the observation group was signifcantly superior to the control group in operation time,intraoperative blood loss,thoracic tube indwelling time and hospitalization time.In terms of complications,1 case of pulmonary infection and 1 case of chest infection occurred in the observation group,while 2 cases of pulmonary infection,3 cases of pneumothorax and 3 cases of chest infection occurred in the control group.The incidence rate of 7.1%in the observation group was signifcantly lower than 28.6%in the control group.There were signifcant diferences in data between the two groups(P<0.05).Conclusion In the treatment of early non-small cell lung cancer,thoracoscopic radical resection of lung cancer has obvious advantages.Patients have better control of clinical indicators,lower incidence of complications,less damage to patients,and better prognosis and recovery of patients.
作者
杜卓
方震宇
万千
成宏兵
马南山
郭根心
DU Zhuo;FANG Zhenyu;WAN Qian;CHENG Hongbing;MA Nanshan;GUO Genxin(Department of Thoracic Surgery,Xiantao First People's Hospital,Xiantao Hubei 433000,China)
出处
《中国继续医学教育》
2019年第22期89-91,共3页
China Continuing Medical Education
关键词
早期
非小细胞肺癌
胸腔镜
肺癌根治术
临床效果
研究
early
non-small cell lung cancer
thoracoscopic
radical resection of lung cancer
clinical efect
research
