电视胸腔镜肺叶切除术治疗早期肺癌的临床研究

Clinical Study of Video-assisted Thoracoscopic Lobectomy in the Treatment of arly Lung Cancer

目的探讨电视胸腔镜肺叶切除术治疗早期肺癌的临床效果。方法搜集我院2017年2月至2020年2月收治的81例早期肺癌患者病历资料,依据手术方式不同分为对照组与观察组。对照组40例实施常规开胸手术治疗,观察组41例实施电视胸腔镜肺叶切除术治疗,对比两组患者围手术期指标及术后并发症发生率。结果观察组患者术中出血量少于对照组,术后住院时间、引流管拔除时间短于对照组,NRS疼痛评分低于对照组,P<0.05,而两组患者手术时间无明显差异,P>0.05;观察组患者术后并发症发生率为7.32%,显著高于对照组的22.50%,P<0.05。结论电视胸腔镜肺叶切除术治疗早期肺癌术中出血少,患者住院时间缩短,术后并发症发生率下降,患者疼痛感轻,临床治疗效果显著。

Objective To investigate the clinical effect of video-assisted thoracoscopic lobectomy in the treatment of early lung cancer.Methods The medical records of 81 patients with early lung cancer from February 2017 to February 2020 were collected the control group and observation group.40 patients in the control group underwent conventional thoracotomy,41 patients in the observation group underwent video-assisted thoracoscopic lobectomy.Compare the relevant surgical indicators and the incidence of postoperative complications between the two groups of patients Results The intraoperative blood loss of the observation group was less than that of the control group,and the postoperative hospitalization time and drainage tube removal time were shorter than those of the control group.The NRS pain score was lower than that of the control group,P<0.05,but there was no significant difference in operation time between the two groups,P>0.05.The postoperative complication rate of the observation group was 7.32%,which was significantly higher than the 22.50%of the control group,P<0.05.Conclusion Video-assisted thoracoscopic lobectomy in the treatment of early lung cancer can reduce the amount of bleeding,shorten the length of hospitalization time,the drainage tube is removed early,and the operation time is not increased,the incidence of postoperative complications is low,postoperative pain is light,and the clinical treatment effect is significant.