全胸腔镜肺叶切除治疗早期肺癌近期临床分析  

Recent clinical analysis of completely video-assisted thoracoscopic lobectomy in treatment of early lung cancer

作　　者：唐广松[1] 杨峰[1] 莫立显[1] 岑武将 文颖[1] 

机构地区：[1]贵州医科大学第三附属医院胸外科,贵州都匀558000

出　　处：《中国现代医生》2016年第4期37-39,共3页China Modern Doctor

摘　　要：目的分析比较胸腔镜肺叶切除与传统开胸肺叶切除治疗肺癌的术后近期疗效。方法选择我院2010年1月～2015年9月行手术治疗的59例早期肺癌患者，分为VATS组（n=30）和开胸组（n=29），观察两组患者的手术时间、术中出血量、术后肺部感染、拔胸管时间、术后疼痛视觉模拟评分、术后心律失常、术后肺不张、二次开胸止血、清扫淋巴结数和术后住院时间、并发症。结果VATS组的手术时间、术中出血量、术后24h视觉疼痛评分、住院时间与开胸组比较，差异有统计学意义（P〈0．05）；但两组清除淋巴结数目、拔胸管时间及术后并发症发生情况比较，差异无统计学意义（P〉0．05）。结论全胸腔镜肺叶切除治疗肺癌安全可靠，与传统开胸手术疗效相当，但具有创伤小、切口小、恢复快，且具有较好的美容效果等优点，值得临床推广应用。Objective To analyze and compare recent efficacy of thoracoscopic lobectomy and traditional open chest lobe resection in the treatment of lung cancer. Methods 59 cases of patients with early lung cancer from January 2010 to September 2015 in our hospital were given surgery treatment which were retrospectively analyzed, VATS group（n=30） and open chest group （n=29）. The operative time,blood loss, postoperative pulmonary infection,pull the chest tube time,postoperative pain visual analog score, postoperative arrhythmia,postoperative atelectasis and secondary open thoracic bleeding, the numbers of lymph nodes and hospitalization time and complications were compared. Results The operation time, bleeding volume, visual pain score of postoperative 24 hours, hospitalization time of VATS com- pared with open chest group,there were statistically significant differences（P〈0.05）;But the numbers of lymph nodes, the time of pulling out of the chest tube and the incidence of postoperative complications were compared between two groups,there were no statistically significant differences（P〉0.05）. Conclusion Completely video-assisted thoracoscopic lobectomy in treatment of early lung cancer is safe and reliable, it is the same as the traditional open chest surgery, curative effect is quite,however, it has the advantages of small trauma, quick recovery, small incision, and has the advantages of beauty, it is worthy of clinical application.

关 键 词：肺癌 电视辅助胸腔镜手术 肺叶切除术 开胸手术 近期疗效 

分 类 号：R734.2[医药卫生—肿瘤]