胸腔镜下肺段切除术对肺癌患者影响分析  

Effect of thoracoscopic segmentectomy on lung cancer patients

作　　者：陈国标[1] 周建平[1] 杜巍[1] 叶志彬[1] 卢星照[1] Chen Guo-biao;Zhou Jian-ping;Du Wei;Ye Zhi-bin;Lu Xing-zhao(Department of cardiothoracic surgery,Dongguan People's Hospital,Dongguan 523000,Guangdong China)

机构地区：[1]东莞市人民医院心胸外科,广东东莞523000

出　　处：《四川生理科学杂志》2021年第6期925-928,共4页Sichuan Journal of Physiological Sciences

基　　金：东莞市社会科技发展(一般)项目(项目编号:201950715001912)。

摘　　要：目的:分析胸腔镜下肺段切除术对肺癌患者的影响。方法:以在我院接受手术治疗的肺癌患者85例为本实验研究对象,采用计算机随机分组的方式,将其分为对照组(n=42)以及实验组(n=43)。两组患者均接受胸腔镜手术,对照组患者选择肺叶切除术进行治疗,实验组患者选择肺段切除术进行治疗。对两组患者手术效果、并发症发生率、肺功能情况、肿瘤标志物水平以及肿瘤复发率等进行统计和比较。结果:实验组患者手术耗时显著长于对照组(P<0.05),在术中出血量、引流量、引流时间、住院时间以及并发症发生率等方面比较,实验组明显小于对照组(P<0.05);术后实验组患者肺功能指标均高于对照组(P<0.05);术后两组患者肿瘤标志物水平均有所降低(P<0.05),但组间比较无差异;术后随访1年,肿瘤复发率以及死亡率比较,两组无显著差异。结论:针对肺癌患者,采用胸腔镜下肺段切除术治疗可行性较高,可明显减少对患者正常肺组织的损伤,患者术后康复周期短,肺功能损伤少,临床推广应用价值较高。Objective:to analyze the effect of thoracoscopic segmentectomy on patients with lung cancer.Methods:85 patients with lung cancer were randomly divided into control group(n=42)and experimental group(n=43).All the patients received thoracoscopic surgery,the control group patients choose lobectomy,the experimental group patients choose segmentectomy.The operation effect,complication rate,pulmonary function,tumor marker level and tumor recurrence rate of the two groups were statistically analyzed and compared.Results:the operation time of the experimental group was significantly longer than that of the control group(P<0.05).The intraoperative blood loss,drainage volume,drainage time,hospitalization time and incidence of complications of the experimental group were significantly less than those of the control group(P<0.05);The pulmonary function indexes of the experimental group were higher than those of the control group(P<0.05).After operation,the levels of tumor markers in the two groups were decreased(P<0.05),but there was no difference between the two groups;After 1 year follow-up,there was no significant difference in tumor recurrence rate and mortality between the two groups.Conclusion:for patients with lung cancer,thoracoscopic segmentectomy is feasible,which can significantly reduce the damage to the normal lung tissue,shorten the postoperative rehabilitation cycle,reduce pulmonary function damage,and has high clinical application value.

关 键 词：胸腔镜 肺段切除术 肺癌 

分 类 号：R73[医药卫生—肿瘤]