摘要
目的分析肺癌患者采用胸腔镜下肺段切除术与胸腔镜下肺叶切除术治疗的临床疗效。方法选取2015年9月‐2017年9月该院收治的肺癌患者80例,根据手术方式不同随机分为两组,对照组行胸腔镜下肺叶切除术,观察组行胸腔镜下肺段切除术,对比两组患者治疗前后肺功能变化情况、术后疼痛及相关手术指标情况。结果两组术前肺活量占预计值百分比(FVC%)、第一秒用力呼气容积占预计值百分比(FEV1%)对比差异无统计学意义(P>0.05),术后FVC%、FEV1%均有所降低,与术前比较,差异有统计学意义(P <0.05),观察组术后降低幅度小于对照组,差异有统计学意义(P <0.05);两组视觉模拟疼痛评分(VAS)评分比较,观察组术后第1、3、7天评分均低于同期对照组,差异有统计学意义(P <0.05);两组手术时间、术中出血量、住院时间和术后胸管留置时间比较,差异均无统计学意义(P>0.05),观察组胸腔引流量明显少于对照组,差异有统计学意义(P <0.05)。结论肺癌患者采用胸腔镜下肺段切除术与胸腔镜下肺叶切除术均能获得良好治疗效果,但胸腔镜下肺段切除术肺功能损伤较小,值得临床推广。
【Objective】To analyze the clinical efficacy of thoracoscopic lobectomy and thoracoscopic lobectomy for lung cancer patients.【Methods】Eighty patients with lung cancer treated in our hospital from September 2015 to September 2017 were chosen, according to different operation methods they were randomly divided into two groups: control group underwent the thoracoscopic lobe resection, observation group underwent the thoracoscopic lung segment resection, and pulmonary function changes, postoperative pain, relevant operation index of patients in the two groups were compared before and after treatment.【Results】There was no statistically significant difference between the two groups in preoperative FVC% and FEV1%(P >0.05),the postoperative FVC% and FEV1% were both decreased, and compared with the preoperative values, the difference was statistically significant(P <0.05). When compared the VAS scores of the two groups, the postoperative 1 d, 3 d and 7 d scores of the observation group were lower than those of the control group at the same time, and the difference was statistically significant(P <0.05). There was no statistically significant difference between the two groups in postoperative time, intraoperative blood loss, hospitalization time and postoperative thoracic duct indwelling time(P >0.05). The thoracic drainage rate of the observation group was significantly lower than that of the control group, and the difference was statistically significant(P <0.05).【Conclusion】Thoracoscopic pulmonary segmentectomy and thoracoscopic pulmonary lobectomy can achieve good therapeutic effects in lung cancer patients, but thoracoscopic pulmonary lobectomy can cause minor damage to lung function which is worthy to be popularized.
作者
王虎
郝安林
王卫杰
WANG Hu;HAO Anlin;WANG Weijie(The Fifth Department of Thoracic Surgery,Anyang Tumor Hospital,Anyang,Henan 455000,China)
出处
《中国医学工程》
2019年第2期62-65,共4页
China Medical Engineering
关键词
胸腔镜
肺段切除术
肺叶切除术
肺功能
临床疗效
thoracoscopy
pulmonary segmentectomy
lobectomy
lung function
clinical curative effect
