腔镜微创手术治疗老年肺癌的疗效及术后肺功能分析  

Endoscopic minimally invasive surgery for elderly patients with lung cancer and postoperative pulmonary function analysis

作　　者：高岩[1] GAO Yan(Dalian Central Hospital,Dalian 116021,Liaoning)

机构地区：[1]大连市中心医院

出　　处：《安徽卫生职业技术学院学报》2020年第1期35-36,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨腔镜微创手术治疗老年肺癌的临床疗效及术后肺功能情况。方法:选取医院诊治的146例老年肺癌患者作为观察对象,并随机分为对照组(73例)和观察组(73例)。对照组患者采用开胸手术治疗,观察组患者采用腔镜微创手术治疗。观察比较两组的患者临床疗效及手术前后肺功能指标的变化情况。结果:观察组患者的临床总有效率明显高于对照组;术后,两组患者的用力肺活量(FVC)、1秒用力呼气容积(FEV1%)及气道阻塞肺量测定(FEV1/FVC)水平均比术前有所改善,但组间比较,观察组患者的改善程度优于对照组(P<0.05)。结论:针对老年肺癌患者进行腔镜微创手术治疗,可有效提高其临床疗效,并有效改善患者肺功能指标,值得临床推广。Objective:To investigate the clinical efficacy and postoperative pulmonary function of laparoscopic minimally invasive surgery for elderly patients with lung cancer.Methods:A total of 146 elderly lung cancer patients who were treated in hospital were enrolled.The patients were randomly divided into the control group(73 cases)and the observation group(73 cases).After operation,the two groups of patients had a strong vital capacity(FVC),a forced expiratory volume of 1 second(FEV1%)and airway obstruction.The spirometry(FEV1/FVC)level was improved compared with preoperative level,but the improvement of the observation group was more obvious in the control group than in the control group(P<0.05).Conclusions:Minimally invasive surgery for elderly patients with lung cancer can effectively improve the clinical efficacy and improve the lung function of patients.It is worthy of clinical promotion.

关 键 词：腔镜微创手术 老年肺癌 肺功能 开胸手术 

分 类 号：R734.2[医药卫生—肿瘤]