开胸和胸腔镜手术对老年早期周围型肺癌的疗效比较

Effects of thoracotomy and video-assisted thoracoscopic surgery in elderly patients with early-stage peripheral lung cancer surgery

目的比较开胸和胸腔镜手术对老年早期周围型肺癌的疗效。方法将我院2013—2015年确诊为早期周围型肺癌的60例患者根据随机数字表法分为试验组和对照组,每组30例。试验组采取胸腔镜手术,对照组采取开胸手术。对比两组的手术时间、切口长度、出血量、术后疼痛度和炎症反应程度。结果试验组患者手术时间略短于对照组(P>0.05);对照组的切口长度、出血量和术后疼痛度评分均显著高于试验组(P<0.05);试验组的术后炎症反应程度明显低于对照组(P<0.05)。结论对于老年早期周围型肺癌,胸腔镜手术比起传统开胸手术具有切口小、出血少、术后恢复快以及炎症反应程度轻的优势,应该在临床中广泛运用。

Objective To compare the effects of thoracotomy and video-assisted thoracoscopic surgery（VATS） in elderly patients with early-stage peripheral lung cancer surgery. Methods Sixty elderly patients who were diagnosed as early-stage peripheral lung cancer in our hospital from 2013 to 2015 were enrolled in this study and divided into control group（treated with thoracotomy） and experimental group（treated with VATS） according to random number table, with 30 cases in each group. The operative time, length of incision, blood loss, postoperative pain scores and degree of inflammatory reaction were compared between the two groups. Results The operative time of the experimental group was slightly shorter than that of the control group（P〉0.05）. The length of incision, blood loss and postoperative pain scores in the control group were higher than those in the experimental group（P〈0.05）. The degree of inflammatory reaction of the experimental group was lower than that of the control group（P〈0.05）. Conclusion For elderly patients with early-stage peripheral lung cancer surgery,VATS has the advantages of small incision, less bleeding, rapid postoperative recovery and lesser degree of inflammatory reaction than traditional thoracotomy. And it should be widely used in clinic.