腔镜手术微创治疗老年肺癌的疗效及术后肺功能观察  

Efficacy of endoscopic surgery in the treatment of elderly patients with lung cancer and observation of postoperative pulmonary function

作　　者：付春利[1] 卢珠明[2] 方万强[1] 邓国敏[1] 方子文[1] 吴科杰[1] 

机构地区：[1]广东省开平市中心医院胸外科,开平529300 [2]广东省江门市中心医院胸外科,江门529030

出　　处：《广州医药》2017年第6期26-28,39,共4页Guangzhou Medical Journal

摘　　要：目的探讨腔镜手术治疗老年肺癌的疗效及对肺功能的影响。方法我们纳入90例老年肺癌患者作为研究对象,随机抽签分为2组,各45例。观察组45例行胸腔镜肺癌切除术,对照组45例行传统开胸肺癌切除术。比较两组患者手术时间、术中出血量、胸腔引流时间、淋巴结清扫数量、术后住院时间、疼痛评分、肺功能及术后并发症情况。结果两组手术时间、淋巴结清扫数量无差异(P>0.05);观察组术后胸腔引流时间、术中出血量、疼痛评分、住院时间少于对照组(P<0.05)。观察组术后并发症总发生率低于对照组(P<0.05)。观察组术后一秒用力呼气容积、用力肺活量、肺活量、一秒用力呼气容积与用力肺活量比值恢复情况优于对照组(P<0.05)。结论腔镜微创手术用于老年肺癌患者能够显著降低围术期并发症,缩短患者术后恢复时间,且有助于改善肺功能。Objective To investigate the efficacy and safety of endoscopic surgery in the treatment of elderly patients with lung cancer. Methods 90 elderly patients with lung cancer in our hospital were divided into two groups,45 cases in each group. The observation group was treated with thoracoscopic lung resection in 45 cases,the control group of 45 cases received conventional open lung cancer resection. The operation time,intraoperative blood loss,thoracic drainage time,lymph node dissection,postoperative hospital stay,pain score,pulmonary function assessment and postoperative complications were compared. Results There were no significant differences in the operation time and lymph node dissection between the two groups（ P〈0. 05）. The thoracic drainage time,intraoperative blood loss pain score and hospitalization time in the observation group were lower than those in the control group（ P〈0. 05）. The incidence of postoperative complications in the observation group was lower than that in the control group（ P〈0. 05）. The forced expiratory volume,forced vital capacity,vital capacity,one-second forced expiratory volume and forced vital capacity of the observation group were better than those in the control group after operation（ P〈0. 05）. Conclusion Endoscopic minimally invasive surgery may significantly reduce perioperative complications in elderly patients with lung cancer,shorten the postoperative recovery time and improve lung function.

关 键 词：腔镜治疗 肺癌 术后疗效 肺功能 

分 类 号：R734.2[医药卫生—肿瘤]