小切口开胸手术与全胸腔镜治疗早期非小细胞肺癌的效果分析  

Comparative Analysis on Clinical Effects of Small Incision Thoracotomy and Complete Thoracoscopic Surgery on Early Stage Non-small Cell Lung Cancer

作　　者：张童 冯国斌 

机构地区：[1]核工业416医院胸心外科,成都610051

出　　处：《中国医药导刊》2014年第9期1206-1207,1211,共3页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨小切口开胸手术与全胸腔镜治疗早期非小细胞肺癌的临床疗效。方法：回顾性分析我院2011年10月～2012年11月70例非小细胞肺癌患者的资料，根据患者治疗方式分为观察组及对照组，各35例，对照组采用传统小切口开胸肺叶切除术，观察组采用胸腔镜下肺叶切除术，对两组患者手术情况、淋巴结清数目、术后恢复情况进行评价，随访1年，对两组患者术后转移及复发情况进行评价。结果：在本组资料中，观察组患者术中失血（78.8±23.6）ml，对照组失血（187.5±45.5）ml，差异明显，有统计学意义（P＜0.05）；观察组手术时间短、术后并发症发生率低、胸腔引流量少、VAS评分低、住院时间短，比较差异有统计学意义（P＜0.05）。随访1年，两组转移及复发比较无明显差异，无统计学意义（P＞0.05）。结论：在严格掌握手术适应证及做好术前评估的前提下，胸腔镜的治疗效果值得肯定，对患者的损伤较小，是一种安全、有效的手术治疗方法。Objective：To explore the clinical effects of small incision thoracotomy and the complete thoracoscopic surgery curing early stage non-small cell lung cancer.Methods：A retrospective analysis was performed on 70 cases of non-small cell lung cancer in our hospital during Oct. 2012 to Nov. 2011. All patients were randomly divided into the observation group or the control group, each group containing 35 patients respectively.Cases in the control group received routine small incision open-chest lobectomy, while thoracoscopic lobectomy was applying on the patients in the observation group.The operative condition, number of lymph node clearance and postoperative recovery condition in the two groups were evaluated. A one-year follow-up postoperative survey on metastasis and recurrence was conducted of the two groups of patients.Results：All data showed that intraoperative blood loss in patients in the observation group was （78.8±23.6） ml, and in the control group the blood loss was （187.5±45.5） ml. The difference was statistically significant （P〈0.05）. The observation group had shorter operative time, lower incidence of postoperative complications, less volume of chest drainage, lower VAS score and shorter hospital stay. All the differences were statistically significant （P〈0.05）. one-year follow-up survey showed there was no statistically significant difference in metastasis and recurrence between the two groups （P〉0.05）. Conclusion：Under the strict surgical indications and the preoperative evaluation, the therapeutic efficacy of complete thoracoscopy surgery effect is promising. The patient＆#39;s injury is limited and the surgery treatment is safe and effective.

关 键 词：非小细胞肺癌 胸腔镜 肺叶切除术 开胸手术 临床疗效 

分 类 号：R734.2[医药卫生—肿瘤]