胸腔镜技术与开放手术治疗肺癌的效果比较  

A comparative analysis of the efficacy and complications of thoracoscopic surgery and open surgery for lung cancer

作　　者：王波[1] 黄鑫[2] Wang Bo;Haung Xin(Department of Cardiothoracic Surgery,Chengdu No.5 People's Hospital,Chengdu,Sichuan 611130,China;Department of Respiratory and Critical Care Medicine,Chengdu No.5 People's Hospital,Chengdu,Sichuan 611130,China)

机构地区：[1]成都市第五人民医院心胸外科,四川成都611130 [2]成都市第五人民医院呼吸与危重症医学科,四川成都611130

出　　处：《医药前沿》2020年第2期18-19,共2页Journal of Frontiers of Medicine

摘　　要：目的:对比分析胸腔镜技术与开放手术治疗肺癌的效果。方法:选取我院肺癌258例患者,随机分为观察组和对照组各129例,观察组行胸腔镜手术,对照组行开放手术,通过围手术期患者的临床情况对这两种手术方法的疗效及并发症发生率进行比较分析。结果:两组患者淋巴结清扫数、围手术期病死率比较,差异无统计学意义(P>0.05);而胸腔镜组患者平均手术时间、引流管留置时间、住院时间明显短于对照组,并且术中出血量少于对照组,差异具有统计学意义(P<0.05);观察组术后并发症总发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论:胸腔镜手术对肺癌患者的治疗效果显著,对患者创伤小、疼痛轻、术后并发症少及恢复快,改善患者预后。Objective To observe and compare the efficacy of thoracoscopic surgery and open surgery in the treatment of lung cancer and the incidence of complications.Methods 258 patients with lung cancer in our hospital were randomly divided into observation group and control group,129 cases in each group.The observation group underwent thoracoscopic surgery,while the control group underwent open surgery.The efficacy and complications of the two surgical methods were compared and analyzed through the clinical conditions of perioperative patients.Results There was no significant difference in the number of lymph node dissection and perioperative mortality between the two groups(P>0.05);while the average operation time,drainage tube indwelling time and hospitalization time in the thoracoscopic group were significantly shorter than those in the control group,and the amount of bleeding during operation was less than that in the control group,the difference was statistically significant.(P<0.05);the total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Video-assisted thoracoscopic surgery is more effective in the treatment of lung cancer patients,and has the advantages of less trauma,less pain,fewer complications and faster recovery,which can better improve the prognosis of patients.

关 键 词：胸腔镜 开放手术 肺癌 疗效 

分 类 号：R730.56[医药卫生—肿瘤]