非小细胞肺癌应用胸腔镜下手术治疗的效果

The effect of thoracoscopic surgery in the treatment of non-small cell lung cancer

目的分析非小细胞肺癌应用胸腔镜下肺癌手术治疗的效果。方法选取2020年6月—2023年6月在天津市北辰区中医医院接受肺癌手术治疗的非小细胞肺癌患者82例为本次研究对象,根据治疗方式不同将患者分为观察组和对照组各41例。对照组患者接受传统肺癌手术治疗,观察组患者采用胸腔镜下肺癌手术治疗。比较两组患者围术期相关指标、术后血清炎症因子水平及术后疼痛应激情况。结果观察组手术时间为(1.12±0.15)h、术后引流管留置时间为(4.23±1.76)d,短于对照组的(1.52±0.13)h、(5.74±1.54)d;术中出血量为(163.45±14.86)mL和胸腔引流量为(689.75±32.49)mL,均少于对照组的(244.35±18.65)mL、(865.42±44.36)mL,差异均有统计学意义(P<0.05)。观察组术后各项炎症因子水平、各项疼痛应激指标均低于对照组,差异均有统计学意义(P<0.05)。结论非小细胞肺癌通过胸腔镜下手术治疗操作便捷,术后患者基本情况更优,术后患者各项炎症因子指标更低,患者术中所受创伤小,术后疼痛应激指标更低,有利于患者术后更快恢复,改善病情。

Objective To analyze the effectiveness of thoracoscopic lung cancer surgery in the treatment of non-small cell lung cancer.Methods A total of 82 patients with non-small cell lung cancer who underwent lung cancer surgery in Tianjin Beicchen District Traditional Chinese Medicine Hospital from June 2020 to June 2023 were selected as the study subjects.According to different treatment methods,the patients were divided into the observation group and the control group,with 41 patients in each group.The control group received traditional lung cancer surgery treatment,while the observation group received thoracoscopic lung cancer surgery treatment.The perioperative related indicators,the postoperative serum inflammatory factor levels and postoperative pain stress between two groups of patients were compared.Results The operation time and retention time of postoperative drainage tube in observation group were(1.12±0.15)h and(4.23±1.76)d,which were shorter than those in control group with(1.52±0.13)h and(5.74±1.54)d;the intraoperative blood loss was(163.45±14.86)mL and thoracic drainage flow was(689.75±32.49)mL,which were lower than those in the control group with(244.35±18.65)mL and(865.42±44.36)mL,and the differences were statistically significant(P<0.05).The levels of postoperative various inflammatory factors and various pain stress indexes in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion The treatment of non-small cell lung cancer through thoracoscopic surgery was convenient,and the postoperative patient's basic condition was better.The postoperative patient's various inflammatory factor indicators were lower,the patient's intraoperative trauma was small,and the postoperative pain stress indicators were lower,which was conducive to faster postoperative recovery and improvement of the patient's condition.