评价胸腔镜与开胸手术治疗早期非小细胞肺癌的临床效果

To Evaluate the Clinical Effect of Thoracoscope and Thoracotomy in the Treatment of Early Non-small Cell Lung Cancer

目的探讨胸腔镜与开胸手术治疗早期非小细胞肺癌的临床疗效。方法抽取至我院就诊的57例早期非小细胞肺癌患者(2015年1月30日—2017年10月30日)作为研究对象,其中对常规组采取开胸手术治疗,对实验组采取胸腔镜手术治疗,对比两组的临床疗效。结果实验组出血量、引流量均少于常规组,差异具有统计学意义(P<0.05);比较两组淋巴结清扫数量,差异无统计学意义(P>0.05);实验组的住院时间短于常规组,VAS评分低于常规组,差异具有统计学意义(P<0.05);实验组与常规组的并发症发生率分别为7.41%与20.00%,差异具有统计学意义(P<0.05)。结论对早期非小细胞肺癌患者采取胸腔镜手术治疗的效果显著,对患者的创伤较小,缓解了患者的身心痛苦。

Objective To investigate the clinical effects of thoracoscopy and thoracotomy in the treatment of early stage non-small cell lung cancer. Methods 57 patients with early non-small cell lung cancer （from January 30, 2015 to October 30, 2017） were selected as study subjects in our hospital. The routine group was treated with thoracotomy, and the experimental group was treated by thoracoscopic surgery, and the clinical effect of the two groups was compared. Results The amount of bleeding and the flow rate of the experimental group were less than that of the conventional group, and the difference was statistically significant （P 〈 0.05）. There was no significant difference in the number of lymph node dissection between the two groups （P 〉 0.05）. The time of hospitalization in the experimental group was shorter than that in the routine group, and the VAS score was lower than that of the conventional group, and the difference was statistically significant （P 〈 0.05）. The incidence of complications in the experimental group and the routine group were 7.41% and 20.00% respectively, and the difference was statistically significant （P 〈 0.05）. Conclusion The effect of thoracoscopic surgery on patients with early stage non-small cell lung cancer is signifcant. The trauma to patients is small, relieving the patient＇s physical and mental pain.