电视胸腔镜与传统开胸肺叶切除术治疗原发性非小细胞肺癌的疗效比较  

Efficacy comparison of VATS lobectomy and conventional thoracotomy for patients with primary non-small cell lung cancer

作　　者：吴云舒[1] 

机构地区：[1]河南省胸科医院微创外科,郑州450003

出　　处：《中国实用医刊》2014年第13期55-57,共3页Chinese Journal of Practical Medicine

摘　　要：目的比较电视胸腔镜与传统开胸肺叶切除术治疗原发性非小细胞肺癌的疗效。方法根据患者意愿将86例患者分为观察组和对照组各43例。对照组使用传统开胸手术，观察组采用电视胸腔镜肺叶切除术。观察两组术中出血量、手术时间、杜冷丁用量、胸腔引流超过100ml天数、淋巴结清扫数目、住院时间、血糖（GLU）、血清前白蛋白（PA）、白细胞计数（WBC）等指标变化，以评价疗效。结果观察组切口长度、术中出血量、术后杜冷丁用量、引流超过100ml天数、住院时间明显低于对照组，住院费用显著高于对照组（P〈0．05）。两组术后GLU、WBC、PA等指标比较差异有统计学意义（P〈0．01）。结论相比于传统开胸肺叶切除术，电视胸腔镜治疗原发性非小细胞肺癌具有更好的疗效，但是住院费用较高，在具体的选择上要根据患者的经济承受能力，尊重患者自愿予以选择。Objective To compare the effects of traditional thoracotomy and VATS lobectomy on primary non-small cell lung cancer. Methods Eighty-six patients were voluntarily divided into observa- tion group and control group, with 43 cases in each group. Patients in control group were given conven- tional thoracotomy, and patients in observation group were given VATS lobectomy. Blood loss during op- eration, operative time, pethidine dosage, days of pleural drainage over 100 ml, number of lymph node dissection, hospitalization time, blood glucose （ GLU）, prealbumin （ PA）, white blood cell count （WBC） and other indicators were observed in the two groups to evaluate the effects. Results The length of inci- sion, blood loss during operation, postoperative pethidine dosage, days of draining more than 100 ml, hospital stay in observation group were significantly lower than those in control group, and hospital costs in the observation group were significantly higher than those in control group （ P 〈 0. 05 ）. There were sig- nificant differences in GLU, WBC, PA and other indicatorsafter operation between the two groups （P 〈 0. 01 ）. Conclusions Compared with the traditional thoracotomy lobectomy, VATS treatment has better effect on primary non-small cell lung cancer, but the hospital costs were higher, the choice should be based on the patient＇ s affordability, according to the principle of voluntarily.

关 键 词：原发性非小细胞肺癌 电视胸腔镜 开胸术 应用价值 

分 类 号：R734.2[医药卫生—肿瘤]