摘要
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.
出处
《实用癌症杂志》
2018年第2期265-267,共3页
The Practical Journal of Cancer
关键词
电视胸腔镜
原发性肺癌
开胸
疗效
并发症
Video-assisted thoracoscopic surgery (VATS)
Primary lung cancer
Thoracic
Curative effect
Complication