两种微创切除肺叶方案治疗早期非小细胞肺癌效果比较  

Efficacy Comparison of Different Mini-Invasive Lung Resections for Early Non-Small Cell Lung Cancer

作　　者：张劲[1] 施子夏[1] 周人杰[2] 

机构地区：[1]重庆市第三人民医院胸外科,重庆400014 [2]重庆第三军医大学新桥医院心胸外科,重庆400037

出　　处：《医学临床研究》2015年第9期1665-1667,共3页Journal of Clinical Research

基　　金：国家自然科学基金（30972964）

摘　　要：【目的】对比肺段切除和肺楔形切除方案在早期非小细胞肺癌（NSCLC）患者中的治疗效果。【方法】选择2008年1月至2014年7月在本院住院并接受亚肺叶切除术的患者100例。随机分为肺段切除组和肺楔形切除组，每组各50例。比较两组患者的手术情况，术后并发症情况和随访的复发、死亡情况。【结果】肺楔形切除组患者的住院时间和手术时间均短于肺段切除组，差异具有统计学意义（P〈0．05）。两组患者留置引流管的时间和术中出血量比较差异无统计学意义（P〉0．05）。两组患者的并发症情况、局部复发、远处转移和死亡情况比较差异无统计学意义（P〉0．05）。【结论】肺段切除和肺楔形切除方案在早期NSCLC患者中的应用效果相似。[Objective] To compare the efficacies of lung resection and pulmonary wedge resection for early non-small cell lung cancer （NSCLC）. [Methods] A total of 100 hospitalized NSCLC patients were recruited for lung resection between January 2008 and July 2014. They were divided randomly into two groups of lung resec- tion and pulmonary wedge resection （ n = 50 each）. And two groups were compared with regards to postoperative complications, follow-up recurrence and death. [Results] The hospitalization and operative durations of pulmonary wedge resection group were shorter than those of pulmonary resection group. And the differences had statistical significance （ P 〈0.05）. Indwelling drainage tube time, bleeding amount, complications, local recurrence, distant metastasis and death showed no inter-group statistical significance （ P 〉0.05）. [Conclusion] The efficacies of pulmonary resection and pulmonary wedge resection are similar for early NSCLC.

关 键 词：外科手术 微创性 肺切除术 癌 非小细胞肺/外科学 肿瘤转移 

分 类 号：R734.2[医药卫生—肿瘤]