胸腔镜下肺癌根治术的临床疗效及安全性观察

Observation on clinical efficacy and safety of video-assisted thoracoscopic lung resection

目的观察胸腔镜下实施肺癌根治术的临床疗效及安全性。方法选取我院收治的90例肺癌根治术患者作为研究对象,按照手术方法不同分为观察组与对照组各45例,观察组给予胸腔镜下肺癌根治术治疗,对照组给予传统开胸肺癌根治术治疗,比较两组患者的手术近期疗效及并发症。结果两组患者手术时间比较无明显差异(P>0.05),其他指标如出血量、拔管时间、肢体关节活动恢复时间、住院时间等比较均有明显差异(P<0.01),具有统计学意义。观察组并发症发生率明显低于对照组(P<0.01),随访6～18个月复发及死亡率比较无明显差异(P>0.05)。结论胸腔镜下实施肺癌根治术具有疗效好、创伤小、术后易恢复、术后并发症低等优点。

Objective To observe the clinical efficacy and safety of radical operation for lung cancer under thoraeoscope. Meth- ods 90 patients with lung cancer were treated with radical operation as the research objects, and according to the operation, they were e- venly divided into the observation group and the control group. The observation group was given the treatment of video-assisted thoraco- scopic lung resection, and the control group was given conventional thoracotomy. Efficacy and complications of operation were compared between the two groups. Results There was no significant difference on operation time between the two groups （ P 〉 0. 05 ）. The other in- dicators such as the amount of bleeding, the duration of extubation and hospital stay, and the limb and joint activity recovery time showed significant differences （P 〈0. 01 ）. The complication rate was significantly lower in the observation group than in the control group （P 〈 0. 01 ）. There was no significant difference on recurrence during 6 - 18 months follow-up and mortality （ P 〉 0. 05 ）. Conclusion Video- assisted thoracoscopic implementation of radical resection has good curative effect, small trauma, short postoperative recovery time, and low complications in the treatment of patients with lung cancer, which is worthy of widely clinical application.