电视胸腔镜辅助小切口与单纯腋下小切口肺癌手术的临床疗效比较  

Comparison of clinical effect between video-assisted thoracoscopy plus minithoracotomy and limited axillary thoracotomy for the treatment of lung cancer

作　　者：杨扬[1] 刘延风[1] 许瑞彬[1] 

机构地区：[1]延安大学附属医院胸外科,陕西省延安716000

出　　处：《中国基层医药》2013年第8期1189-1191,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的比较电视胸腔镜辅助小切口和单纯腋下小切口行肺癌手术的效果。方法85例肺癌患者分别采用电视胸腔镜辅助小切口（胸腔镜辅助组）和单纯腋下小切口（腋下小切口组）手术治疗。比较两组手术时间、术中出血量、术后胸腔引管留置时间、术后住院时间及术后并发症。结果两组均无死亡病例，胸腔镜辅助组手术时间和术中出血量明显低于腋下小切口组（t=6．514、2．413，均P〈0．05），而两组术后胸腔引流管留置时间、术后住院时间以及并发症发生率差异无统计学意义（t=0．490、0．338，均P〉0．05）。结论电视胸腔镜辅助下小切口肺癌手术创伤小，安全性好，可在临床上推广应用。Objective To compare the efficacy of video-assisted thoracoscopy plus minithoracotomy（VAMT） and limited axillary thoracotomy（LAT） for the treatment of lung cancer. Methods 85 consecutive lung cancer patients were treated by either VAMT or LAT. The operative time, blood loss during operation, postoperative chest drainage time, and hospital stay time and postoperative complication were compared between the two groups. Results There was no death in two groups. The operative time and blood loss during operation were significant less in VAMT than inLAT（t = 6. 514,2. 413, all P 〈 0. 05）. But postoperative chest drainage time, and hospital stay time and postoperative complication were no significant difference between the two groups （ t = 0. 490,0. 338, all P 〉 0. 05 ）. Conclusion VAMT is a safe and less traumatic procedure in the treatment of lung cancer,which is worthy of promotion and application.

关 键 词：胸外科手术 电视辅助 胸腔镜检查 肺肿瘤 

分 类 号：R734.2[医药卫生—肿瘤]