胸腔镜辅助肺癌淋巴结清扫临床分析  

Clinical Analysis on Thoracoscopic Assisted Lung Lymph Node Dissection

作　　者：张志强[1] 

机构地区：[1]临朐县人民医院心胸外科,山东临朐262699

出　　处：《医学综述》2014年第1期170-171,共2页Medical Recapitulate

摘　　要：目的研究和探讨胸腔镜辅助肺癌淋巴结清扫的临床效果。方法选取临朐县人民医院2006年5月至2007年5月收治的84例确诊非小细胞肺癌患者为研究对象,根据手术方式不同分为研究组和对照组。其中,研究组43例采用胸腔镜辅助小切口肺叶切除和淋巴结清扫;对照组41例采取传统的开胸手术治疗。对两组患者手术效果、淋巴结清除数、累计生存率等进行比较分析。结果传统的开胸手术在手术用时为(114.3±21.6)min,低于研究组的(175.7±24.1)min;研究组术中出血量显著少于对照组[(318.5±65.7)mL vs(492.2±45.9)mL];研究组的引流时间为(3.4±1.1)d、住院时间为(9.5±3.2)d,均显著少于对照组的(7.2±2.5)d、(14.1±3.7)d,差异有统计学意义(P<0.05);在清扫淋巴结数、累计生存率方面两组比较无统计学差异(P>0.05)。结论胸腔镜辅助小切口进行肺癌淋巴结清扫安全可靠,可达到与传统开胸手术同等疗效,且具有住院时间短、出血少等优势,可进行临床推广。Objective To study and discuss the clinical effect of thoracoscopic assisted lung lymph node dissection. Methods From Linqu People＇s Hospital during May 2006 and May 2007,84 cases of confirmed non-small cell lung cancer patients were selected for the study, which were divided into the study group and the control group according to different surgical approaches. Study group of 43 patients were operated with thoracoscopic assisted small incision lobectomy and lymph node dissection ;41 cases of the control group were operated with the traditional thoracic surgery. The comparative analysis of the two groups of surgical results, the number of lymph node dissection,the cumulative survival rates was done. Results Traditional thoracotomy surgery time （ 114.3 ± 21.6 ） min, lower than the study group （ 175.7 ± 24.1 ） min, the study group blood 10ss（318.5± 65.7） mL,drainage time（3.4± 1.1） d,length of hospital stay（9.5 ± 3.2） d,were significantly less than the control group, （492.2 ± 45.9 ） mL, （ 7.2 ± 2.5 ） d, （ 14.1 ± 3.7 ） d, with statistically significant differenees（P 〈 0.05 ）. The lymph nodes dissection number and the cumulative survival rate showed no significant difference （ P 〉 0.05 ）. Conclusion Thoracoscopic assisted small incision lung cancer lymph node dissection is safe and reliable, and can achieve the same efficacy with traditional thoracotomy, and has a shorter hospital stay,less bleeding and other advantages, thus is worth of clinical promotion.

关 键 词：胸腔镜 肺癌 淋巴结清扫 

分 类 号：R734.2[医药卫生—肿瘤]