胸腔镜袖状肺叶切除术治疗肺癌临床效果分析

Clinical outcomes of thoracoscopic bronchial sleeve resection for lung cancer

目的:探讨胸腔镜袖状肺叶切除术对肺癌的治疗效果,并观察其不良反应发生率。方法:回顾性分析2010年8月～2016年8月在我院接受手术治疗的肺癌患者的临床资料。根据手术方式分为传统袖状肺叶切除组和胸腔镜肺叶袖状切除组。对比两组患者的手术相关指标、肺功能、生活质量及并发症。结果:两组手术时间、术中出血量、术后引流时间、术后下床活动时间、VAS评分比较,胸腔镜组均低于传统手术组(P<0.05)。结论:胸腔镜袖状肺叶切除治疗肺癌患者有利于术后肺功能恢复,且具有创伤小的优势,值得临床推广。

Objective：To observe the therapeutic effects and rate of adverse events of thoracoscopic bronchial sleeve lobectomy for lung cancer. Methods：The clinical data were retrospectively analyzed in cases of lung cancer undergone surgical treatment in our hospital between August of 2010 and 2016. The patients were divided into conventional sleeve lobectomy group and thoracoscopic bronchial sleeve resection group. Then the two groups were compared regarding demographic information,pulmonary function before and after operation,quality of life and rate of adverse events. Results：Patients treated with thoracoscopic bronchial sleeve resection had shorter operative time,lower intraoperative blood loss,shorter time of drainage,earlier off-bed activity,and lower VAS scoring than those treated with conventional sleeve lobectomy（ P〈 0. 05）. Conclusion：Thoracoscopic bronchial sleeve resection is worthy of wider clinical recommendation in treatment of lung cancer,for this technique has a better curative effect and safety,and is conducive to the postoperative recovery of the patients.