胸腔镜下肺癌根治术治疗早期非小细胞肺癌的疗效探索

Study on the curative effect of thoracoscopic radical resection for early 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2017年5月到2018年5月本院收治的70例早期非小细胞肺癌患者,随机分为对照组与观察组,各35例。对照组实施传统开放性手术治疗,观察组实施胸腔镜下肺癌根治术治疗,比较两组患者的手术指标和术后并发症发生率。结果观察组患者的手术时间与对照组比较差异无统计学意义,观察组的住院时间、引流管放置时间短于对照组(P<0.05),观察组的术中出血量、总引流量及并发症均少于对照组(P<0.05)。结论对早期非小细胞肺癌患者实施积极的胸腔镜下肺癌根治术治疗,能明显降低出血量和引流量,缩短住院时间和引流时间,降低并发症,具有积极的推广价值。

Objective To investigate the clinical effect of thoracoscopic radical resection of lung cancer in the treatment of early non-small cell lung cancer. Methods A total of 70 patients with early stage NSCLC admitted to our hospital from May 2017 to May 2018 were randomly divided into control group and observation group, with 35 cases in each group. The control group was treated with traditional open surgery, while the observation group was treated with thoracoscopic radical resection of lung cancer. The operative parameters and the incidence of complications were compared. Results There was no significant difference in operation time between the observation group and the control group. The hospitalization time and drainage tube placement time of the observation group were shorter than those of the control group(P<0.05). The bleeding volume, total drainage volume and complications of the observation group were less than those of the control group(P<0.05). Conclusion Active thoracoscopic radical resection of lung cancer for patients with early non-small cell lung cancer can significantly reduce the amount of bleeding and drainage, shorten hospitalization time and drainage time, reduce complications, and has a positive promotion value.