胸腔镜下肺癌根治术治疗老年非小细胞肺癌的疗效

Treatment effect of radical resection of lung cancer under thoracoscope in elderly non-small cell lung cancer

目的探讨胸腔镜下肺癌根治术治疗老年非小细胞肺癌的临床效果。方法选择2015年12月至2016年12月我院收治的78例老年非小细胞肺癌患者作为研究对象,随机分成A、B两组,每组39例。A组采用开胸手术治疗,B组采用胸腔镜下肺癌根治术,比较两组患者的手术情况、并发症发生情况及1年后生存率。结果两组清扫淋巴结个数比较,治疗无明显差异(P>0.05);相较于A组,B组输血量、总引流量明显更少,住院时间明显更短,并发症总发生率明显更低,1年后生存率明显更高,组间差异显著(P<0.05)。结论胸腔镜下肺癌根治术治疗老年非小细胞肺癌具有良好的效果,值得在临床中大力推广和应用。

Objective To investigate the clinical effect of radical resection of lung cancer under thoracoscopy in elderlynon-small cell lung cancer. Methods A total of 78 elderly patients with non-small cell lung cancer admitted in our hospitalfrom December 2015 to December 2016 were selected and randomly divided into group A and group B, with 39 cases ineach group. The group A was given operated thoracotomy, and the groupB was treated with thoracoscopic radical resectionof lung cancer. The surgical conditions, complications and survival rate after 1 year in the two groups were compared.Results There was no significant difference in the number of lymph node dissection between the two groups （P〉0.05）.Compared with the group A, there were less blood transfusion volume and total drainage volume, shorter hospitalizationtime, lower total incidence of complications and higher survival rate after 1 years in the group B（P〈0.05）. ConclusionThoracoscopic radical resection of lung cancer has a good effect on eldery non-small cell lung cancer, and it is worthy ofbeing popularized and applied in clinic.