电视胸腔镜辅助下小切口肺癌手术与开胸手术的疗效比较

Comparative study of efficacy of small incision video-assisted thoracoscopic surgery and thoracic surgery on lung cancer

目的：比较电视胸腔镜辅助小切口手术和开胸手术治疗肺癌的临床效果。方法随机选取2013年3月至2015年7月肺癌患者62例，按照手术方案的不同将其分为对照组和观察组，其中对照组患者行传统开胸手术，观察组患者采用电视胸腔镜辅助下小切口手术进行治疗，对两组患者的手术情况、术后并发症及凝血功能变化情况进行观察分析。结果观察组术中出血量明显低于对照组，其手术时间、引流时间及住院时间均明显短于对照组，差异有统计学意义（P ＜0.05）；观察组术后血小板计数、凝血活酶时间明显高于对照组，D-二聚体、凝血酶原时间明显低于对照组，差异有统计学意义（P ＜0.05）。结论与开胸手术相比，采用电视胸腔镜辅助下小切口手术对肺癌患者进行治疗可有效降低手术创伤，避免对机体凝血机制造成严重影响，有利于患者术后顺利恢复，建议临床进一步推广。

[Abstract ] Objective To compare the clinical effect of small incision video-assisted thoracoscopic surgery（VATS）and thoracic surgery on lung cancer. Methods A total of 62 lung cancer patients from March 2013 to July 2015 were randomly selected. According to the different surgical options,the patients were divided them into control group and observation group. The control group underwent conventional open surgery,and the observation group received small incision VATS. Surgery condition,postoperative complications and coagulation changes of the two groups were observed and analyzed. Results The blood loss in observation group were significantly lower than that in the control group,the operation time,drainage time and hospital stay were significantly shorter than those in the control group（P 〈 0. 05）. In the observation group,the levels of PLT,APTT were significantly higher than those in the control group,the levels of DD,PT were significantly lower than those in the control group（P 〈 0. 05）. Conclusions Compared with thoracotomy,using small incision VATS for lung cancer treatment can effectively reduce the surgical trauma,avoid serious impact on the body’s clotting mechanism,and can help better recovery,so it is recommended to further promote clinical.