胸腔镜治疗早期非小细胞肺癌患者临床疗效分析

Clinical Effect of Thoracoscopy Surgery in the Treatment of Patients with Early Stage Non-small Cell Lung Cancer

目的分析胸腔镜治疗早期非小细胞肺癌的临床疗效。方法 120例早期非小细胞肺癌患者根据术式分为腔镜组和开胸组。腔镜组给予胸腔镜手术治疗,开胸组患者行传统开胸手术治疗。观察并记录2组患者的手术及术后情况,比较2组1周后心肺功能情况。结果腔镜组术中出血量、术后胸腔引流量、术后镇痛时间、VAS评分及并发症总发生率均低于开胸组,差异均有统计学意义(P均<0.05)。2组患者手术时间、拔管时间、淋巴结清扫数比较差异均统计学意义(P均>0.05)。术后1周腔镜组的心肺功能较开胸组显著改善,各项指标比较差异均有统计学意义(P均<0.05)。结论胸腔镜手术作为新型外科技术治疗早期非小细胞肺癌创伤轻,出血少,且术后恢复快,能够有效改善患者心肺功能,值得临床推广。

Objective To analyze the clinical effect of thoracoscopy surgery in the treatment of early stage non-small cell lung cancer.Methods All the120patients with early stage non-small cell lung cancer were selected and divided into the thoracoscopic group and the open thoracotomy group with60patients in each group,and were respectively treated with thoracoscopy and thoracotomy surgery.The operation conditions and clinical effects were observed and recorded.Additionally,the cardiopulmonary function of both groups were compared after1week of treatment.Results The intraoperative bleeding amount,postoperative thoracic drainage amount,postoperative analgesic time,VAS score and postoperative complication occurrence rate in the thoracoscopic group were less than the open thoracotomy group,the differences were statistically significant(P<0.05).There was no statistic difference in the operation time,extubation time and number of cleaning lymph between the two groups(P>0.05).After1week of treatment,cardiopulmonary function of the thoracoscopic group showed a conspicuous improvement compared with the open thoracotomy group(P<0.05).Conclusion Thoracoscopic surgery as a new surgical technique has less traumatic,less bleeding and faster recovery after operation in the treatment of early non-small cell lung cancer,and can effectively improve the cardiopulmonary function of patients.It is worth popularizing in clinical practice.