全胸腔镜与开胸纵隔淋巴结清扫治疗临床Ⅰ期非小细胞肺癌的对比研究  

作　　者：庄振利[1] 于芝[1] 孙翠玲 

机构地区：[1]烟台市毓璜顶医院,山东烟台264000 [2]烟台市市直机关医院,山东烟台264000

出　　处：《世界中医药》2017年第A01期459-459,461,共2页World Chinese Medicine

摘　　要：目的对比分析临床Ⅰ期非小细胞肺癌全胸腔镜与开胸纵膈淋巴结清扫的临床效果。方法选取在我院接受手术治疗的262例临床Ⅰ期非小细胞肺癌患者资料进行回顾性研究，其中125例接受开胸纵膈淋巴结清扫术(开胸组)，137例接受全胸腔镜总格淋巴结清扫术(全胸腔镜组)，比较2组患者纵膈淋巴结清扫组数、枚数、不同区域淋巴结清扫数目以及相关并发症发生情况。结果2组患者纵膈淋巴结清扫组数和枚数比较差异无统计学意义(P＞0.05)；全胸腔镜组患者并发症发生率略低于开胸组，胸腔引流时间略短于开胸组，但差异无统计学意义(P＞0.05)。结论全胸腔镜手术对临床Ⅰ期非小细胞肺癌纵膈淋巴结的清扫效果与开胸手术相当，且不会增加相关并发症的发生率，同时其具有创伤小、疼痛轻、恢复快等优点，值得临床推广应用。Objective:To analysis the clinical total thoracoscopeⅠstage non-small cell lung cancer and mediastinal lymph node cleaning the clinical effect of chest.Methods:selection of surgical treatment of262cases in our hospital clinicalⅠstage non-small cell lung cancer patients data were retrospectively studied,including125patients who underwent thoracotomy of mediastinal lymph nodes were performed(open group)and137patients who underwent total thoracoscope total lymph node cleaning technique(total thoracoscope group),compared two groups of patients with mediastinal lymph node cleaning the group number,number,number of different regional lymph node cleaning and related complications.Results:two groups of patients with mediastinal lymph node cleaning the group number and the number was no significant difference(P>0.05);The thoracoscope complications in patients with slightly lower than thoracotomy group,the chest drainage time slightly shorter than thoracotomy group,but the difference did not reach statistical significance(P>0.05).Conclusion:total thoracoscope surgery for clinicalⅠstage non-small cell lung cancer with mediastinal lymph node cleaning effect and quite open thoracic surgery,and will not increase the incidence of related complications,at the same time it has the advantage such as little trauma,pain,quick recovery,worthy of clinical popularization and application.

关 键 词：非小细胞肺癌 纵膈淋巴结清扫 胸腔镜手术 

分 类 号：R715[医药卫生—妇产科学]