小切口开胸术治疗肺癌疗效观察及评估

Observation and evaluation of curative effect by mini-incision thoracotomy in the treatment of lung cancer

目的研究实行小切口开胸术治疗肺癌的临床效果。方法 54例肺癌患者,采用随机数字表法分为参照组与实验组,各27例。实验组患者实行腋下小切口开胸术,参照组患者实行传统后外侧切口手术,对比两组患者实行不同手术治疗后各项指标变化情况。结果实验组患者住院时间为(7.24±1.24)d、开胸时间为(13.27±2.54)min、疼痛积分为(3.17±0.67)分、并发症发生率为3.70%(1/27);参照组患者住院时间为(15.24±1.07)d、开胸时间为(26.57±3.24)min、疼痛积分为(8.14±0.37)分、并发症发生率为25.93%(7/27);两组住院时间、开胸时间、疼痛积分及并发症发生率比较差异有统计学意义(t/χ2=25.3806、16.7865、33.7414、5.2826,P<0.05)。结论将小切口开胸术应用于肺癌治疗中可明显提高临床治疗效果,降低并发症发生率,缓解患者疼痛,缩短住院时间,值得临床应用与推广。

Objective To research clinical effect by mini-incision thoracotomy in the treatment of lung cancer. Methods A total of 54 patients with lung cancer were divided by random number table into control group and experimental group, with 27 cases in each group. The experimental group received subaxillary miniincision thoracotomy, and the control group received traditional posterolateral incision surgery. Comparison was made on changed indexes after operation treatment between the two groups. Results The experimental group had hospital stay time as（7.24±1.24）d, thoracotomy time as（13.27±2.54）min, pain score as（3.17±0.67）points, and incidence of complications as 3.70%（1/27）. The control group had hospital stay time as（15.24±1.07）d, thoracotomy time as（26.57±3.24）min, pain score as（8.14±0.37）points, and incidence of complications as 25.93%（7/27）. The difference of hospital stay time, thoracotomy time, pain score and incidence of complications had statistical significance between the two groups（t/χ2=25.3806, 16.7865, 33.7414, 5.2826, P〈0.05）. Conclusion Implement of mini-incision thoracotomy in treating lung cancer can remarkably improve clinical effect, reduce incidence of complications, relieve pain in patients, and shorten hospital stay time. This method is worth clinical application and promotion.