胸腔镜下肺癌根治术治疗早期非小细胞肺癌的效果

Effect of thoracoscopic radical resection of lung cancer in the treatment of early stage non-small cell lung cancer

目的探讨胸腔镜下肺癌根治术治疗早期非小细胞肺癌的临床效果。方法选取2012年1月～2017年3月我院诊治的110例早期非小细胞肺癌患者,依据治疗方法不同分为开胸组与胸腔镜组,每组各55例。开胸组采用传统开胸肺癌根治术,胸腔镜组则实施胸腔镜下肺癌根治术。比较两组的手术成功率、手术操作时间、留置引流管时间、输血量、引流总量、淋巴结清扫组数目和清扫量、术后并发症发生率。结果胸腔镜组的手术成功率与开胸组比较,差异无统计学意义(P>0.05)。胸腔镜组的手术操作时间、留置引流管时间短于开胸组,输血量、引流总量少于开胸组(P<0.05)。两组的淋巴结清扫组数目和清扫量比较,差异无统计学意义(P>0.05)。胸腔镜组的并发症总发生率低于开胸组(P<0.05)。结论胸腔镜下肺癌根治术对早期非小细胞肺癌患者的治疗效果确切,可有效改善患者病情,缩短手术和引流管留置时间,减少引流量和出血量,减少并发症发生,值得推广。

Objective To explore the clinical effect of thoracoscopic radical resection of lung cancer in the treatment of early stage non-small cell lung cancer.Methods A total of 110 cases of early stage non-small cell lung cancer patients were selected from January 2012 to March 2017 in our hospital.According to the different treatment methods,they were divided into the thoracotomy group and the thoracoscopy group,55 cases in each group.Traditional thoracotomy was used in the thoracotomy group,while thoracoscopic radical resection of lung cancer was used in the thoracoscopy group.The success rate,operation time,indwelling drainage tube time,blood transfusion volume,total drainage volume,number and amount of lymph node dissection group and the incidence of complications were compared between the two groups.Results There was no significant difference in the success rate between the thoracotomy group and the thoracoscopy group(P>0.05).The operation time and indwelling drainage tube time of the thoracoscopy group were shorter than those of the thoracotomy group,and the amount of blood transfusion and total drainage of the thoracoscopy group were less than those of the thoracotomy group(P<0.05).There was no significant difference in the number and volume of lymph node dissection between the two groups(P>0.05).The total incidence of complications in the thoracoscopy group was lower than that in thoracotomy group(P<0.05).Conclusion The curative effect of thoracoscopic radical resection of lung cancer for patients with early stage non-small cell lung cancer is accurate.It can effectively improve the patient′s condition,shorten the time of operation and drainage tube indwelling,reduce the volume of flow and bleeding,and reduce the incidence of complications.It is worth popularizing.