早期非小细胞肺癌肺段切除与肺叶切除手术的疗效比较

The Treatment Comparison on Anatomic Segmentectomy and Lobectomy for Early Stage Non-small Cell Lung Cancer

目的 分析比较早期非小细胞肺癌肺段切除与肺叶切除手术的疗效.方法 回顾性分析2009年1月-2010年1月于我院住院治疗的90例非小细胞肺癌患者的生存率及临床疗效.结果 肺段切除术的闭式引流时间、肺不张、心衰、血胸比例较肺叶切除术相比具有较好的临床表现,并进行4年的跟踪随访,接受VATS肺段切除术的患者无病生存的比例为89.9%,接受VATS肺叶切除术的患者的无病生存的比例为86.7%.结论 VATS肺段切除术在对Ⅰ a期非小细胞肺癌患者治疗中,有较好的安全性和有效性,肺段切除术组与肺叶切除术组的患者生存率差异不大.

Objective To contrast the treatment of segmentectomy and lobectomy for early stage non-small cell lung cancer.Methods Retrospective analysis 90 cases of patients with non-small cell lung cancer survival from January 2009 to January 2010 in our hospital. Results Segmentectomy was better clinical manifestations on closed drainage time of lung segment resection, atelectasis, heart failure. And for 4 years of follow-up study showed that segmentectomy patients with disease-free survival ratio of 88.9%, lobectomy patients with disease-free survival ratio of 86.7%.Conclusion VATS lung resection in the treatment of early non-small cell lung cancer is a safe and effective treatment method, its operation period of the clinical effect is better than that of VATS lobectomy.