胸腔镜下肺楔形切除术治疗老年Ⅰ期非小细胞肺癌的效果观察

The effect of thoracoscopic wedge wedge resection in the treatment of elderly patients with stage Ⅰ non-small cell lung cancer

目的:探究胸腔镜下肺楔形切除术治疗老年Ⅰ期非小细胞肺癌的效果,为临床提供指导。方法:以2014年10月23日至2016年11月20日我院46例老年Ⅰ期非小细胞肺癌患者作为观察对象,随机将46例患者分为实验组(23例,应用胸腔镜下肺楔形切除术治疗)、对照组(23例,应用肺叶切除术治疗)。均随访一年,研究对比实验组和对照组患者的手术时间、引流管留置时间、并发症发生率、住院时间及复发率。结果:实验组患者手术时间[(45.76±13.61)min]、引流管留置时间[(2.49±0.52)d]、住院时间[(4.23±1.69)d]相比对照组明显更短,P<0.05;实验组患者并发症发生率(8.70%)相比对照组(30.43%)明显更低,P<0.05,但复发率和对照组比较无显著差异,P>0.05。结论:对老年Ⅰ期非小细胞肺癌患者采取胸腔镜下肺楔形切除术治疗的疗效较可靠,且并发症更少。

Objective:To explore the treatment of elderly pulmonary wedge resection under thoracoscopeⅠ stage non-small cell lung cancer,to provide clinical guidance.Methods:On October 23,2014 to November 20,2016 from 46 cases of elderlyⅠ stage non-small cell lung cancer patients as research object,46 patients were randomly divided into experimental group(23 cases,application under thoracoscopy pulmonary wedge resection treatment)and the control group(23 cases,lung resection treatment).All the patients were followed up for one year,compared with the experimental group and control group,the time of operation,the duration of drainage tube,the incidence of complications,the length of hospital stay and the recurrence rate.Result:The operation time of the patients in the experimental group[(45.76+/13.61]min],drainage tube retention time[(2.49+0.52)d],and the length of hospital stay[(4.23+1.69)d]was significantly shorter than the control group,P<0.05;The incidence of complications in the experimental group(8.70%)was significantly lower than that in the control group(30.43%),P<0.05,but there was no significant difference between the recurrence rate and the control group,P>0.05.Conclusion:For elderlyⅠ stage non-small cell lung cancer patients take the pulmonary wedge resection under thoracoscope treatment the curative effect is reliable,and less complications