经全胸腔镜下肺叶切除术治疗非小细胞肺癌临床效果分析

Complete video- assisted thoracoscopic surgery for non- small cell lung cancer: clinical effect analysis

目的:探讨全胸腔镜下肺叶切除术治疗非小细胞肺癌的临床应用。方法:回顾性分析收治的80例非小细胞肺癌患者的临床资料,分为观察组(全胸腔镜肺叶切除术)和对照组(传统开胸手术)各40例。分别比较手术时间、术中出血量、淋巴结清扫情况、VAS评分、术后胸腔引流时间、平均住院时间、术后并发症等情况。结果:两组患者均顺利完成手术,观察组和对照组的淋巴结清扫差异无统计学意义(P>0.05)。观察组在术中出血、术后胸腔引流时间、住院时间、术后并发症等指标上与对照组比较,差异有统计学意义(P<0.05)。结论:全胸腔镜下肺叶切除术较传统开胸手术的创伤小,并发症低,术后肺功能恢复好,疗效确切,值得临床推广。

Objective To explore the clinical application of complete video-assisted thoracoscopic surgery （VATS） in the treatment of non-small cell lung cancer （NSCLC）.Method Analyzed the results from 80 cases of non-small cell lung cancer treated between Mar.2009 and Jun.2012 at our institution.Some underwent full thoracoscopic lobectomy（40 cases,as observe group）and some had conventional thoracotomy （40 cases,as control group）.Compare two group of the operative time,the intraoperative blood loss,the number of lymph nodes,the VAS score,the chest drainage time,the average hospitalization time,the postoperative complications.Results Two groups of patients were successfully completed surgery,and showed no significant difference in No.Of lymph node dissection（P〉0.05）.There were statistical significances between observe group and control group in the operative time,the intraoperative blood loss,the VAS score,the chest drainage time,the average hospitalization time,postoperative complications（P〈0.05）.Conclusion Full thoracoscopic lobectomy is smaller trauma,lower complication,good recovery of pulmonary function,TVST had a curative effect,which was worth clinical promotion.