胸腔镜肺癌根治术在老年非小细胞肺癌治疗中的应用效果评价  

Evaluation of the Effect of Thoracoscopic Radical Resection of Lung Cancer in the Treatment of Elderly Patients with Non-small Cell Lung Cancer

作　　者：韦德康[1] Wei Dekang(Department of cardiovascular thoracic surgery, Hechi People's Hospital, Hechi 547000, Guangxi Zhuang Autonomous Region, China)

机构地区：[1]广西河池市人民医院胸心血管外科,广西壮族自治区河池市547000

出　　处：《中国病案》2019年第5期79-82,共4页Chinese Medical Record

摘　　要：目的评价胸腔镜肺癌根治术在老年非小细胞肺癌临床治疗中的应用效果。方法将2013年3月-2017年12月收治的60例老年非小细胞肺癌患者分为传统组和胸腔镜组,分别对2组实施开胸肺癌根治术治疗和胸腔镜肺癌根治术治疗,比较2组术中出血量、清扫淋巴结数量、术后总引流量、术后并发症发生情况、术后住院时间、术后随访6个月的生活质量。结果胸腔镜组术中出血量为(85.06±10.38)ml,较传统组的(190.42±29.33)ml少(P<0.05),清扫淋巴结数量为(13.09±2.18)个,与传统组的(12.98±2.25)个比较无明显差异(P<0.05),术后总引流量为(839.25±85.11)ml,较传统组的(1612.19±90.02)ml少(P<0.05),术后并发症发生率为3.33%,较传统组的16.67%低(P<0.05),术后住院时间为(6.47±1.32)天,较传统组的(10.01±1.40)天短(P<0.05),术后6个月的生活质量评分为(49.05±9.88)分,较传统组的(42.85±9.17)分高(P<0.05)。结论胸腔镜肺癌根治术治疗老年非小细胞肺癌,疗效与开胸肺癌根治术相当,术中出血量、术后引流量、术后并发症少,能够有效改善患者术后远期生活质量。Objectives To evaluate the effect of thoracoscopic radical mastectomy for the treatment of elderly patients with non-small cell lung cancer. Methods 60 elderly patients with non-small cell lung cancer admitted from March 2013 to December 2017 were divided into the traditional group and the thoracoscopic group. The two groups were treated with radical thoracotomy and radical thoracoscopic lung cancer. The amount of intraoperative blood loss, the number of lymph nodes removed, the total postoperative drainage, the postoperative complications, the postoperative hospital stay, and the quality of life after 6 months of follow-up were compared between the two groups. Results The amount of bleeding in the thoracoscopic group was(85.06±10.38) ml, which was less than that of the traditional group(190.42±29.33) ml(P<0.05), and the number of lymph nodes was(13.09±2.18), compared with the traditional group(12.98±2.25). There was no significant difference between the two groups(P<0.05). The total postoperative drainage volume was(839.25±85.11) ml, which was less than the traditional group(1612.19±90.02) ml(P<0.05). The postoperative complication rate was 3.33%, lower than 16.67% in the traditional group(P<0.05), postoperative hospital stay was(6.47±1.32) d, shorter than the traditional group(10.01±1.40)d(P<0.05), 6 months after surgery The quality of life score was(49.05±9.88), which was higher than that of the traditional group(42.85±9.17)(P<0.05). Conclusions Thoracoscopic radical mastectomy for elderly patients with non-small cell lung cancer was less invasive, less complication and reliable.

关 键 词：老年非小细胞肺癌 胸腔镜肺癌根治术 创伤性 并发症 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]