完全胸腔镜手术治疗早期肺癌的临床效果  

Clinical effect of complete thoracoscopic surgery in the treatment of early lung cancer

作　　者：张磊 ZHANG Lei(Department of General Surgery,Yichun People′s Hospital,Jiangxi Province,Yichun336000,China)

机构地区：[1]江西省宜春市人民医院普外科,江西宜春336000

出　　处：《中国当代医药》2020年第30期103-105,109,共4页China Modern Medicine

基　　金：江西省宜春市科技计划项目(JXYC2016KSC011)。

摘　　要：目的研究早期肺癌患者开展完全胸腔镜手术治疗的价值。方法选取2017年1月~2020年1月我院收治的100例早期肺癌患者,依据随机数字表法分为对照组与实验组,各50例。对照组采用开胸肺叶切除术治疗,试验组采用完全胸腔镜手术治疗。比较两组的治疗总有效率、并发症总发生率、疼痛程度、手术指标。结果试验组的治疗总有效率(90.00%)高于对照组(74.00%),差异有统计学意义(P<0.05)。试验组的并发症总发生率(12.00%)低于对照组(28.00%),差异有统计学意义(P<0.05)。试验组的疼痛程度轻于对照组(P<0.05)。试验组的术中出血量少于对照组,出院时间、引流时间、手术时间短于对照组,差异有统计学意义(P<0.05)。结论早期肺癌患者开展完全胸腔镜手术治疗可降低并发症发生率、疼痛程度,缩短住院时间,提高治疗总有效率,效果更理想。Objective To study the value of complete thoracoscopic surgery in the treatment of patients with early lung cancer.Methods From January 2017 to January 2020,100 patients with early lung cancer in our hospital were selected and divided into the control group(n=50)and the experimental group(n=50)according to random number table method.The control group was treated with open pulmonary lobectomy,and the experimental group was treated with complete thoracoscopic surgery.The total effective rate,the total incidence rate of complication,pain degree and operation index of the two groups were compared.Results The total effective rate in the experimental group was 90.00%,which was higher than that in the control group accounting for 74.00%,and the difference was statistically significant(P<0.05).The total incidence rate of complications in the experimental group was 12.00%,which was lower than that in the control group accounting for 28.00%,and the difference was statistically significant(P<0.05).The pain degree of the experimental group was milder than that of the control group(P<0.05).The amount of bleeding during operation of the experimental group was less than that of the control group,and the discharge time,drainage time,and operation time of the experimental group were all shorter than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Complete thoracoscopic surgery in the treatment of patients with early lung cancer can reduce the incidence of complications,pain,shorten the length of hospital stay,improve the total effective rate of treatment,the effect is more ideal.

关 键 词：完全胸腔镜手术 早期肺癌 手术疗效 并发症 疼痛效果 出院时间 手术时间 引流时间 

分 类 号：R734.2[医药卫生—肿瘤]