胸腔镜手术治疗老年非小细胞肺癌的临床疗效及并发症发生率分析

Clinical Effect and Complications Incidence Analysis of Thoracoscopic Surgery for Elderly Non-small Cell Lung Cancer

目的探讨胸腔镜手术治疗老年非小细胞肺癌的临床疗效,并分析患者并发症发生情况。方法选择2020年10月—2023年10月本院收治的老年非小细胞肺癌患者60例为研究对象,依据数字随机表方式将其分为对照组和观察组,每组30例。对照组采取常规开胸手术治疗,观察组采取胸腔镜手术治疗,对比分析两组手术临床疗效、手术治疗相关指标及并发症发生率。结果对照组与观察组在手术治疗有效率方面无显著差异(P>0.05)。相较于对照组,观察组手术时间、引流管留置时间、首次下床活动时间以及住院时间均更短,且患者的术中出血量、胸腔引流总量与术后止痛药用量等均更少(P<0.05)。观察组并发症率显著低于对照组(P<0.05)。结论对老年非小细胞肺癌予以胸腔镜手术治疗,创伤低,患者的术后康复快,并发症发生率低,值得推广。

Objective To explore clinical effect of thoracoscopic surgery for elderly non-small cell lung cancer and analyze complications incidence.Methods The paper chose 60 elderly patients with non-small cell lung cancer in the hospital from October 2020 to October 2023,and divided them into control group(n=30)treated with routine open chest surgery and observation group(n=30)with thoracoscopic surgery randomly.Clinical effect and treatment related indicators were compared between two groups,complications incidence was compared.Results Observation group had slightly higher effective rate of surgical treatment than control group,there was no significant difference,(P>0.05).Observation group had shorter surgery,drainage tube placement,first mobilization,length of stay,less intraoperative bleeding,total chest drainage,and postoperative analgesic dosage than control group,(P<0.05).Incidence of complications in observation group was significantly lower than control group(P<0.05).Conclusion Thoracoscopic surgery can achieve fast postoperative recovery and low incidence of complications for elderly non-small cell lung cancer has low tr auma,which is worthy of promotion.