电视胸腔镜辅助小切口肺叶切除术在肺癌治疗过程中的价值探讨

Study on significance of small incision lobectomy under the assistance of VATS in treatment of lung cancer

目的探讨电视胸腔镜辅助小切口肺叶切除术在肺癌治疗过程中的应用价值。方法选择肺癌患者80例,按入院顺序随机分为两组,每组各40例,研究组患者使用电视胸腔镜辅助小切口肺叶切除术治疗,对照组采用传统开胸肺叶切除术。比较两组患者手术时间、术中出血量、术后引流时间等一般手术效果及两组患者术后生存质量。结果研究组患者术中出血量、术后引流时间及住院天数分别为(230.5±80.3)ml、(3.5±1.0)d、(8.7±2.4)d,均明显低于对照组,差异具有统计学意义(P<0.05);研究组患者术后生存质量总体状况得分为(88.5±8.7),明显高于对照组(70.4±6.2),差异具有统计学意义(P<0.05)。结论电视胸腔镜辅助小切口肺叶切除术治疗肺癌疗效安全可靠,可显著提高患者术后生存质量,值得推广应用。

Objective To explore the significance of small incision lobectomy under the assistance of VATS in treatment of lung cancer. Methods Eighty patients with lung cancer in this hospital were randomly divided into two groups according to the order of admission, each with 40 patients. Patients in study group were treated with small incision lobeetomy under the assistance of VATS, and patients in control group were given with traditional pulmonectomy. The difference in operating time, amount of blood loss, postoperative draimage time etc and quality of life after treat- ment between these two groups was compared. Results The amount of blood loss, postoperative drainage time and hospitalization days in study group were （230.5 ±80.3） ml, （3.5 ±1.0） d and （8.7 ±2.4） d respectively, and they were significantly lower than those of control group, and the difference was statistically significant （ P 〈 0.05）. The overall condition scores of quality of life in patients of study group were 88.5± 8.7, which were significantly higher than those of control group （70.4 ±6.2）, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion The lo- bectomy with small incision under the assistance of VATS is safe and reliable in treatment of lung cancer, and it can significantly improve the quality of life of patients, hence it should be widely applied.