研究胸腔镜肺癌根治术在老年非小细胞肺癌临床治疗中的应用

Study the Application of Thoracoscopic Radical Resection of Lung Cancer in the Clinical Treatment of Elderly Non-small Cell Lung Cancer

目的研究胸腔镜肺癌根治术在老年非小细胞肺癌临床治疗中的应用,为临床实践提供理论依据。方法以该院2019年3月—2020年3月老年非小细胞肺癌患者100例为研究对象,按患者治疗意愿分为参照组50例与研究组50例,参照组实施传统肺叶切除术治疗,研究组实施胸腔镜肺癌根治术治疗,对比手术相关指标、并发症发生率及生活质量。结果研究组术中出血量(152.46±10.24)mL、术后引流时间(2.36±0.55)d、术后镇痛时间(1.55±0.23)d均优于参照组(293.49±15.27)mL、(4.92±0.83)d、(4.64±0.57)d,差异有统计学意义(t=54.239、18.180、35.547,P<0.05);研究组并发症发生率6.00%低于参照组24.00%,差异有统计学意义(χ^(2)=6.353,P<0.05);研究组治疗后生活质量评分(89.68±5.23)分优于参照组(81.94±5.18)分,差异有统计学意义(t=7.435,P<0.05);研究组住院时间(7.52±1.09)d低于参照组(17.51±2.33)d,差异有统计学意义(t=27.461,P<0.05)。结论老年非小细胞肺癌患者采用胸腔镜肺癌根治术治疗,能减少患者术中出血量,加快术后恢复速度,预防并发症,改善生活质量,具有显著治疗效果。

Objective To study the application of thoracoscopic radical resection of lung cancer in the clinical treatment of elderly non-small cell lung cancer,and to provide a theoretical basis for clinical practice.Methods Taking 100 elderly patients with non-small cell lung cancer in the hospital from March 2019 to March 2020 as the research object,they were divided into a reference group of 50 cases and a study group of 50 cases according to the patient's treatment willingness.The reference group was treated with traditional lobectomy.The study group was treated with thoracoscopic radical resection of lung cancer,and compared the operation-related indicators,complication rate and quality of life.Results The amount of intraoperative blood loss(152.46±10.24)mL,postoperative drainage time(2.36±0.55)d,and postoperative analgesia time(1.55±0.23)d in the study group were better than those in the reference group(293.49±15.27)mL,(4.92±0.83)d,(4.64±0.57)d,the difference was statistically significant(t=54.239,18.180,35.547,P<0.05);the complication rate of the study group was 6.00%lower than that of the reference group 24.00%,the difference was statistically significant(χ^(2)=6.353,P<0.05);The quality of life score of the study group after treatment(89.68±5.23)points was better than that of the reference group(81.94±5.18)points,and the difference was statistically significant(t=7.435,P<0.05);The hospitalization time of the group was(7.52±1.09)d lower than that of the reference group(17.51±2.33)d,and the difference was statistically significant(t=27.461,P<0.05).Conclusion The use of thoracoscopic radical resection of lung cancer in elderly patients with non-small cell lung cancer can reduce the amount of blood loss during the operation,speed up postoperative recovery,prevent complications,and improve the quality of life.It has a significant therapeutic effect.