胸腔镜肺癌手术治疗老年非小细胞肺癌的临床效果分析  

Clinical effect of thoracoscopic lung cancer surgery in the treatment of elderly patients with non-small cell lung cancer

作　　者：章晔[1] 李春玲[2] 胡建明[1] 陈艰[1] 孙黄涛[1] 周鑫 ZHANG Ye;LI Chun-ling;HU Jian-ming;CHEN Jian;SUN Huang-tao;ZHOU Xin(Department of cardiothoracic surgery,People′s Hospital of Jiangxi Province,Nanchang 330006,China;Operating Room,People′s Hospital of Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西省人民医院心胸外科,江西南昌330006 [2]江西省人民医院手术室,江西南昌330006

出　　处：《中国当代医药》2018年第8期52-54,共3页China Modern Medicine

摘　　要：目的探讨胸腔镜肺癌手术治疗老年非小细胞肺癌的临床效果分析。方法选取2016年2月~2017年5月在我院治疗的52例老年非小细胞肺癌手术患者,采用随机数字表法将其分为对照组、观察组,每组26例。对照组采用传统开胸手术治疗,观察组采用胸腔镜肺癌根治手术治疗,比较两组患者的各项手术指标、并发症发生率、各项生化指标变化。结果观察组患者的手术时间长于对照组,而引流管留置时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的术中出血量、胸腔引流总量、术后止痛药用量均少于对照组,差异有统计学意义(P<0.05);两组患者的淋巴结清扫个数,差异无统计学意义(P>0.05);两组患者术后并发肺部感染、肺复张不良、脓胸的发生率比较,差异无统计学意义(P>0.05),观察组患者术后并发切口感染、心律失常的发生率低于对照组,差异有统计学意义(P<0.05);两组患者术前各项生化指标的比较,差异无统计学意义(P>0.05);观察组术后WBC、CRP、ALB的指标显著优于对照组,差异有统计学意义(P<0.05)。结论胸腔镜肺癌手术治疗老年非小细胞肺癌的临床效果确切,能有效加快术后恢复速度,减少并发症的发生,改善各项生化指标,具有积极的临床意义。Objective To investigate and analyze the clinical effect of thoracoscopic lung cancer surgery in the treatment of elderly non-small cell lung cancer.Methods A total of 52 elderly patients with non-small cell lung cancer treated in our hospital from February 2016 to May 2017 were divided into control group and observation group by random number method.The control group was treated by traditional thoracotomy,while the observation group was treated by thoracoscopic radical lung cancer surgery.The changes of operation indexes,complication rate and biochemical indexes were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,and the indwelling time and hospitalization time of the drainage tube were shorter than those of the control group(P<0.05).The amount of bleeding during operation,the total amount of thoracic drainage and the amount of postoperative painkillers in the observation group were less than those in the control group(P<0.05).There was no significant difference in the number of lymph node dissection between the two groups(P>0.05).There was no significant difference between the two groups(P>0.05).The incidence of incision infection and arrhythmia in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference between the two groups(P>0.05).WBC,CRP and ALB in the observation group were significantly better than those in the control group,the difference was statistically significant(P<0.05).Conclusion The clinical effect of thoracoscopic lung cancer surgery in the treatment of elderly non-small cell lung cancer is exact.It can effectively speed up postoperative recovery,reduce the incidence of complications and improve various biochemical indexes,and it has a positive clinical significance.

关 键 词：老年非小细胞肺癌 胸腔镜肺癌手术 临床疗效 

分 类 号：R734.2[医药卫生—肿瘤]