摘要
目的比较电视辅助胸腔镜手术(video-assisted thoracoscopic surgery,VATS)和小切口开胸(mini-thoracotomy,MT)肺切除治疗临床早期肺癌术后的生活质量。方法2004年3月~2006年12月,有38例CT提示临床早期肺癌且肿物直径≤6cm的患者随机分为胸腔镜组(n=20)和小切口组(n=18)手术,利用肺癌症状量表(lung cancer symptom scale,LCSS)评估术前和术后第1、3、6个月生活质量评分。结果术后1个月气促、1和3个月疼痛评分胸腔镜组均较小切口组低(11.1±6.9 vs 16.1±7.3,t=-2.170,P=0.037;12.7±8.6 vs 20.3±11.4,t=-2.335,P=0.025;6.4±4.5 vs 10.8±6.7,t=-2.398,P=0.022)。其余生活质量评分(包括食欲、疲劳、咳嗽、肺癌症状、疾病对正常活动的影响、总的生活质量)2组间差异无统计学意义(P>0.05)。结论与小切口肺切除对比,胸腔镜术后在疼痛和气促方面具有较高的生活质量。
Objective To compare the quality of life (QOL) after lobectomy by video-assisted thoracoscopic surgery (VATS) and mini-thoracotomy (MT) for the patients with early stage lung cancer. Methods From March 2004 to December 2006, 38 patients with early stage lung cancer, which sized ≤6 cm in diameter, were randomly divided into VATS (n=20) and MT groups (n=18). The Lung cancer symptom scale (LCSS) was employed to evaluate the QOL of the patients before and 1, 3, and 6 months after the operations. Results The sco...
出处
《中国微创外科杂志》
CSCD
2008年第2期137-139,142,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
电视辅助胸腔镜手术
小切口开胸
肺肿瘤
生活质量
Video-assisted thoracoscopic surgery
Mini-thoracotomy
Lung neoplasm
Quality of life
