胸腔镜联合小切口治疗老年肺癌的疗效分析

The Curative Effect of Video-assisted Thoracoscopic Surgery for Elderly Patients with Lung Cancer

目的探讨胸腔镜辅助小切口在老年肺癌手术治疗中的优势及其临床价值。方法至100例70岁以上的老年肺癌患者为研究对象,随机数字表法分为胸腔镜辅助小切口组(VATS组)50例和传统后外侧切口组(TPI组)50例。结果 VATS组在手术时间与淋巴结清扫数目等方面与TPI组相比差异均无统计学意义(P>0.05)。VATS组在术中出血量、切口长度、术后引流量、术后住院时间、术后1 d疼痛强度评分等方面与TPI组相比差异均有统计学意义(P<0.05)。VATS组在各种并发症的发生率方面较TPI组都低。结论胸腔镜辅助小切口术治疗老年肺癌较传统后外侧切口术有明显的优势,能减少患者术后疼痛及住院时间,有利于患者术后康复。

Objective To explore the advantages and clinical value of video-assisted mini-thoractomy for elderly patients with lung cancer. Methods 100 patients over 70 with lung cancer were selected as study objects. The patients were divided into video-assisted thoracoscopic surgery（VATS） group and traditional posterolateral incision（TPI） group by random number table, with 50 cases in each group. Results Operation time and the numbers of lymph node dissection between the 2 groups had no statistical difference （ P 〉 0.05 ）. Intraoperative blood loss, incision length, postoperative drainage volume, postoperative hospital stay and pain intensity 1 day after operation between the 2 groups were statistically different（P 〈 0.05 ）. The incidence of various complications of the VATS group were lower than that of the TPI group. Conclusion Compared with traditional posterolateral incision, the video-assisted thoracoscopic surgery for elderly patients with lung cancer has significant advantage. It can reduce the postoperative pain and hospital stay, and it is beneficial for patients＇ recovery.