胸腔镜在治疗早期非小细胞肺癌的临床效果分析

Clinical effect of thoracoscopy in the treatment of patients with non-small cell lung cancer at early stage

目的 分析胸腔镜治疗早期非小细胞肺癌的临床效果.方法 选取我院2011.3-2013.3收治住院经确诊为NSCLC的患者60例作为研究对象,随机分为胸腔镜（VATS）组和胸腔镜辅助小切口（VAMT）肺癌根治术组,观察治疗效果.结果 治疗过程中,VATS组和VAMT组手术时间、术中出血量、清扫淋巴结数目、术后胸腔引流液体积等比较差异无统计学意义,P〉0.05;VATS组术后住院时间及疼痛程度均优于VAMT组,P〈0.05.结论 VATS下肺叶切除加纵隔淋巴结清扫治疗NSCLC疗效较好,患者术后恢复较快,术后疼痛程度较轻,值得临床推广应用.

Objective To analyze the clinical effect of thoracoscopy in the treatment of patients with non small cell lung cancer at early stage. Methods 60 patients with NSCLC were randomly divided into the thoracoscopy （VATS） group and the assisted thoracic small incision （VAMT） lung resection group. The therapeutic effect was ob served. Results There was no significant difference in operative time, blood loss, number of lymph nodes and post operative thoracic drainage volume between the two groups （ P 〉 0. 05 ）. The improvement of duration of hospital stay and pain was more pronounced in the VATS group than in the VAMT group （P 〈 0. 05 ）. Conclusion VATS lobec tomy plus lower mediastinal lymph node dissection has good curative effect in the treatment of NSCLC patients, which has the advantages of quickly postoperative recovery and little pain.