摘要
目的对非小细胞肺癌实施胸腔镜手术治疗的效果进行分析和研究。方法选择该院收治的90例非小细胞肺癌患者作为该次研究的纳入对象,选取时间段为2015年1月-2017年1月。按照硬币法将这些患者划分为传统手术组和胸腔镜手术组,每组各45例。采用传统开胸手术治疗的方式对传统手术组予以治疗,采用电视胸腔镜手术治疗的方式对胸腔镜手术组予以治疗。在治疗完成后,对两组患者的治疗效果进行分析和比较。结果传统手术组的淋巴结清扫数量为(15.8±5.2)个,手术时间为(144.2±27.5)min,术中出血量为(331.8±97.5)mL,住院时间为(10.5±2.6)d,胸腔镜手术组的淋巴结清扫数量为(15.3±4.7)个,手术时间为(151.6±21.3)min,术中出血量为(229.4±80.6)mL,住院时间为(5.9±1.3)d。在淋巴结清扫数量和手术时间方面,两组比较差异无统计学意义(t=0.277、0.154,P>0.05)。在术中出血量和住院时间方面,胸腔镜手术组明显低于传统手术组,两组相比(t=3.581、3.042,P<0.05)。传统手术组的并发症发生率为46.7%,胸腔镜手术组的并发症发生率为8.9%。在并发症发生率方面,胸腔镜手术组明显低于传统手术组(χ^2=18.026,P<0.05)。结论针对非小细胞肺癌实施胸腔镜手术治疗效果理想,不仅手术创伤小,而且手术时间快,可以缩短患者的住院时间,安全有效。
Objective To analyze and study the effect of thoracoscopic surgery for non-small cell lung cancer. Methods Ninety patients with non-small cell lung cancer admitted to the hospital were selected as the subjects of this study.The selected period was from January 2015 to January 2017. According to coin method, these patients were divided into traditional operation group and thoracoscopic operation group, each group had 45 cases. The traditional operation group was treated by traditional thoracotomy,and the video-assisted thoracoscopic surgery group was treated by video-assisted thoracoscopic surgery. After the treatment was completed, the therapeutic effects of the two groups were analyzed and compared. Results The number of lymph node dissections in the traditional operation group was(15.8±5.2), the operation time was(144.2±27.5) min, the intraoperative blood loss was(331.8±97.5)mL, and the hospital stay was(10.5±2.6)d. The number of lymph node dissections in the group was(15.3±4.7), the operation time was(151.6±21.3)min, the intraoperative blood loss was(229.4±80.6) m L, and the hospital stay was(5.9±1.3) d. In terms of the number of lymph node dissections and the operation time, there was no statistically significant difference between the two groups(t =0.277, 0.154, P>0.05). In terms of intraoperative blood loss and length of stay, the thoracoscopic surgery group was significantly lower than the traditional surgery group, compared with the two groups(t=3.581, 3.042, P<0.05). The complication rate was 46.7% in the traditional surgery group and 8.9% in the thoracoscopic surgery group. In terms of the incidence of complications, the thoracoscopic surgery group was significantly lower than the traditional surgery group,compared(χ^2=18.026, P<0.05). Conclusion Video-assisted thoracoscopic surgery for non-small cell lung cancer is effective and safe, with less trauma and faster operation time,which can shorten the hospitalization time of patients with non-small cell lung cancer.
作者
申振盛
李云霞
SHEN Zhen-sheng;LI Yun-xia(不详;Department of Thoracic Surgery,People's Hospital of Yanggu County,Shandong Province,252300 China)
出处
《系统医学》
2020年第3期25-27,共3页
Systems Medicine
关键词
电视胸腔镜
非小细胞肺癌
效果
手术时间
住院时间
并发症
Video-assisted thoracoscopy
Non-small cell lung cancer
Effect
Operation time
Hospital stay
Complications
