胸腔镜下行肺癌根治术治疗肺癌80例分析  

Analysis of 80 patients with lung cancer treated with radical resection under thoracoscope

作　　者：靳智勇[1] 高旭东[1] 特木热[1] 郭占林[1] 梁俊国[1] 康世荣[1] 黄少军[1] 

机构地区：[1]内蒙古医科大学附属医院胸外科,内蒙古呼和浩特010050

出　　处：《临床肺科杂志》2013年第8期1473-1475,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨胸腔镜下行肺癌根治术在治疗肺癌中的效果。方法分析入住我院的80例肺癌患者的临床资料,本组患者均经电视胸腔镜(VATS)辅助下的小切口行肿瘤切除并系统纵膈淋巴结清扫术,并对病理类型、病理分级、淋巴结转移频度以及随访6年之内的生存时间、手术前后患者的生存质量等方面进行观察、分析。结果本组80例肺癌患者,一共清理淋巴结688个区1054枚淋巴结,每位患者平均为(12.31±2.67)枚;胸腔镜下肺癌根治术与传统治疗方法的术后患者生存率不存在统计学差异(P>0.05);胸腔镜下肺癌患者在手术前后的生存质量存在显著的统计学差异(P<0.01)。结论胸腔镜下行肺癌根治术是一种安全、有效地治疗肺癌的方法。Objective To investigate the effect of radical surgery in the treatment of patients with lung cancer under thoracoscope.Methods The clinical data of 80 patients with lung cancer were retrospectively analyzed.All patients were accepted video-assisted thoracoscopic（VATS） assisted small incision and systematic mediastinal lymph resection.Pathological type,pathological grade,lymph node metastasis frequency as well as the follow-up of survival time in six years,the quality of life of patients before and after surgery were observed and analyzed.Results A total of 688 districts,1054 lymph nodes were cleaned,and each patient had 12.31 ± 2.67 nodes on average.There was no significant difference of survival rate between thoracoscopic lung radical surgery and traditional treatment method（P〈0.05）.The quality of life of patients,who were treated with radical surgery under thoracoscope showed a significant difference before and after the treatment（P〈0.01）.Conclusion Thoracoscopic radical resection of lung cancer is a safe,effective method in the treatment of patients with lung cancer.

关 键 词：胸腔镜 肺癌根治术 生存率 

分 类 号：R734.2[医药卫生—肿瘤]