非小细胞肺癌实施完全胸腔镜下肺癌根治术治疗的效果观察  

Effect of Radical Resection of Lung Cancer in Patients with Non-small Cell Lung Cancer

作　　者：吕建发[1] LV Jianfa.(Hanchuan People＇s Hospital,Hanchuan,431600)

机构地区：[1]汉川市人民医院,431600

出　　处：《实用癌症杂志》2018年第10期1676-1678,共3页The Practical Journal of Cancer

摘　　要：目的探讨完全胸腔镜下肺癌根治术治疗非小细胞肺癌的临床效果。方法完整收集51例患者的临床资料,随机分组,对照组(25例)给予常规开胸手术治疗,实验组(26例)给予完全胸腔镜下肺癌根治术治疗。结果实验组的术中出血量、术后第一天胸腔引流量以及住院天数均显著少于或者短于对照组,经比较差异均有统计学意义,(P均<0. 05); KPS评分治疗后实验组显著高于对照组,P <0. 05。实验组1例出现气胸,1例出现胸腔积液,未出现切口感染,术后并发症发生情况显著优于对照组,P <0. 05。两组生活质量评分治疗后6个月实验组评分显著高于对照组,P <0. 05。结论完全胸腔镜下肺癌根治术治疗非小细胞肺癌临床效果显著,对患者造成的创伤较小,有利于患者的术后恢复。Objective To explore the effect of radical resection of lung cancer in patients with non small cell lung cancer. Methods The clinical data of 51 patients were collected.The patients in the study group（26 cases） were treated with conventional open chest surgery,while the experimental group（ n =25） was treated with total thoracoscopic radical resection of lung cancer. Results The blood loss during the operation,the experimental group during the first day after chest drainage and hospitalization days were significantly less or shorter than the control group,the difference was significant（ P〈0.05）;The KPS scores of the experimental group and the score after treatment were significantly higher than those at of the control group, P〈0.05.The experimental group of 1 cases of pneumothorax,pleural effusion occurred had 1 cases,no incision infection,postoperative complications were significantly better than the control group, P〈0.05.The quality of life scores of the experimental group after treatment was significantly higher than that of the control group, P〈0.05. Conclusion Totally thoracoscopic surgery for non-small cell lung cancer has a significant clinical effect,and it has less trauma to the patients.

关 键 词：非小细胞肺癌 胸腔镜 肺癌根治术 

分 类 号：R734.2[医药卫生—肿瘤]