摘要
目的探讨电视胸腔镜手术(VATS)较传统开胸手术在非小细胞肺癌(NSCLC)治疗中的优势。方法将80例NSCLC患者随机分为VATS组和S组各40例,术后比较两组相关指标。结果 VATS组较S组手术时间长、术中出血量少、留置胸管时间短、止痛时间及住院时间短(P<0.01),清扫淋巴结个数(P>0.05);疼痛时间明显低于S组(P<0.05)。术后第1、5天血清CRP均较术前明显升高(P<0.05),VATS组明显低于同时间点S组(P<0.05)。结论 VATS手术可作为NSCLC患者的推荐治疗方法。
Objective To investigate the advantages of video-assisted thoracoscopic surgery (VATS) compared with conventional thoracotomy in the treatment of non-small cell lung cancer (NSCLC). Methods Eighty cases with NSCLC were collected and divided into VATS group (n = 40,undergone complete video-assisted thoracoscopic pneumonectomy) and S group (n = 40,undergone traditional open pneumonectomy). The indexes of patients in the two groups were compared after operation. Results Compared with S group,the mean operative time was longer, the bleeding loss, chest tube lien time, postop erative pain time were shorter in VATS group (P 〈 0.01). Besides, the number of lymph node dissection was not significantly different between the two groups (P 〉 0.05). Pain time of patients in S group was longer than those in VATS group (P 〈 0.05). Levels of postoperative serum CRP of patients in the two groups were both higher than those before operation (P 〈 0.05), and levels of serum CRP of patients in VATS group on the first and fifth day after operation were markedly lower than those at the same time point in S group (P 〈 0.05). Conclusion VATS can be recommended as a treatment of lung cancer.
出处
《中国现代医生》
2012年第22期130-131,共2页
China Modern Doctor
关键词
电视胸腔镜手术
传统开胸手术
非小细胞肺癌
Video-assisted thoracoscopic surgery
Traditional thoracotomy surgery
Non-small cell lung cancer