CVATS与VAMT治疗非小细胞肺癌的临床效果研究

Clinical Efficacy of CVATS and VAMT for Non-small Cell Lung Cancer

目的探讨全电视胸腔镜手术(CVATS)治疗非小细胞肺癌的临床效果。方法选取NSCLC患者58例作为研究对象,随机平均分为CVATS组和胸腔镜辅助小切口(VAMT)组,观察治疗效果。结果 CVATS组住院时间、疼痛程度以及并发症3项指标均显著低于VAMT组,P<0.05;而手术时间、术中出血量、清扫淋巴结数目、术后胸腔引流量、1年内肿瘤复发例数以及1年生存率6项指标,两组相比差异无统计学意义,P>0.05。结论相比于VAMT,CVATS可减轻患者术后疼痛,住院时间短,在治疗NSCLC中值得广泛的临床应用。

Objective To explore the clinical efficacy of complete video-assisted thoracic surgery( CVATS) for nonsmall cell lung cancer( NSCLC). Methods 58 patients with NSCLC were randomly divided into the CVATS group and the videoassisted mini-thoracotomy( VAMT) group,each with 29 cases. The therapeutic effects were observed. Results The duration of hospital stay,pain and cases of complication of CVATS group were lower than those of VAMT group( P < 0. 05). There was no significant difference in operative time,blood loss,number of lymph nodes and postoperative,thoracic drainage volume,cases of tumor recurrence within 1 year and 1-year survival rate between the 2 groups( P > 0. 05). Conclusion Compared with VAMT,CVATS has less duration of hospital stay and pain,and it is worthy of clinical application.