电视胸腔镜手术治疗原发性肺癌的疗效观察

Observation of Curative Effect of Video-assisted Thoracoscopic Surgery for Primary Lung Cancer

目的观察电视胸腔镜手术治疗原发性肺癌患者的疗效。方法选取原发性肺癌患者60例,随机分成电视胸腔镜组(n=40)及开胸组(n=20),电视胸腔镜组患者采用电视胸腔镜手术治疗,开胸组患者采用开胸手术治疗,对比两组患者的疗效及术后并发症发生情况。结果与开胸组相比,电视胸腔镜组患者手术切口、引流管放置时间、住院天数较短,手术出血量较少,术后VAS评分较低(P<0.001)。电视胸腔镜组患者总并发症发生率为20.0%,低于开胸组(55.0%),差异有统计学意义(χ~2=7.548,P=0.006)。淋巴结清扫数目、肺癌病理分型在两组患者间比较差异无统计学意义(P>0.05)。结论电视胸腔镜手术治疗早期原发性肺癌具有开胸手术相同的效果,并具有术后并发症少、创伤小、恢复快等优势。

Objective To observe the curative effect of video-assisted thoracoscopic surgery for primary lung cancer. Methods 60 patients with primary lung cancer were randomly divided into video-assisted thoracoscopie surgery（VATS） group（ n = 40） and thoracotomy group（ n = 20）. Patients in the VATS group were treated by video-assisted thoracoscopic surgery, and the thoracotomy group were treated by thoracic surgery treatment. The curative effect and postoperative complications of patients of the 2 groups were compared. Results Compared to thoracotomy group,patients in the VATS group had shorter surgical incision and drainage time, hospital stay, less amount of bleeding, lower postoperative VAS score （P 〈 O. 001 ）. The total incidence of complica- tion of patients in the VATS group was 20% ,lower than those of thoracotomy group（55% ） and the difference was statistically sig- nificant（ χ^2 = 7.548 ,P = 0.006 ）. There were no statistically significant differences in the number of lymph node dissection and pathological types of lung cancer between the 2 groups （ P 〉 0.05 ）. Conclusion The curative effect of video-assisted thoraco- scopic surgery for primary lung cancer is the same as thoracic surgery, but it has advantage in less postoperative complications, less trauma and faster recovery.