磨玻璃变的早期肺癌的两种治疗方式研究  

Efficiency study of two treatment methods for early lung cancer characterized by lung GGO change

作　　者：陈李李[1] 高从荣[1] CHEN Li-li;GAO Cong-rong(Department of Thoracic Surgery,the Second People's Hospital of Hefei,Hefei,Anhui 230001,China)

机构地区：[1]合肥市第二人民医院胸外科,安徽合肥230001

出　　处：《临床肺科杂志》2020年第4期588-591,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨对以GGO为临床表现的早期肺癌病人两种治疗方式的效果研究。方法遴选以发现GGO为首发表现的早期肺癌病人,共58例,随机分成两组。观察组病人选择CT引导术前定位胸腔镜切除术(VATS),对照组病人行Muscle-sparing(MS)剖胸切口肺癌切除术。对比两组病人手术情形、手术相关指标区别、术后并发症迥异。结果VATS切除术成功率100%,CT引导术前结节定位成功率为100%,术前定位平均时间(14.65±4.72)min。观察组病人的手术时间、术中出血数量、术后胸引管维持时间,全部小于对照组,(P<0.05)。结论应用CT引导下术前定位胸腔镜切除术,拥有创伤小、出血少、术后恢复快等益处,如今已成为处理早期肺癌的第一术式。Objective To explore the efficiency of two treatment methods for early lung cancer characterized by lung GGO change.Methods 58 cases of early lung cancer patients with GGO were randomly divided into two groups.The observation group was taken CT guided preoperative localization of minimally invasive thoracoscopic resection(VATS),and the control group was given muscle-sparing(MS)thoracotomy lung resection.Their surgery related indicators,postoperative complications and routine follow-up were compared between the two groups.Results The success rate of VATS surgery was 100%,CT guided clear positioning rate was 100%and the average time was(14.65±4.72min).The operation time,blood loss,thoracic tube indwelling time of the observation group were significantly less than those of the control group(P<0.05).Conclusion CT guided preoperative localization of minimally invasive thoracoscopic resection(VATS)has the advantages of less trauma,less bleeding and quick recovery,which has become the first choice for treating lung cancer.

关 键 词：肺磨玻璃样影(GGO)改变 早期肺癌 胸腔镜(VATS)微创切除术 Muscle-sparing(MS)切口剖胸根治术 

分 类 号：R734.2[医药卫生—肿瘤]