全胸腔镜下肺叶切除术与传统开胸肺叶切除术在早期肺癌治疗中的效果分析  

Analysis of the Effect of Total Thoracoscopic Lobectomy and Traditional Open Thoracic Lobectomy in the Treatment of Early Lung Cancer

作　　者：范强 任龙 陈硕 FAN Qiang;REN Long;CHEN Shuo(Department of Thoracic Surgery,Yutai County People's Hospital,Jining,Shandong,272300,China)

机构地区：[1]鱼台县人民医院胸外科,山东济宁272300

出　　处：《中外医疗》2024年第25期64-68,共5页China & Foreign Medical Treatment

摘　　要：目的分析全胸腔镜下肺叶切除术与传统开胸肺叶切除术在治疗早期肺癌中的不同效果。方法随机选取2015年1月—2021年2月鱼台县人民医院收治的80例早期肺癌患者作为研究对象,以不同手术方式进行分组,传统组(40例)接受传统开胸肺叶切除术治疗,腔镜组(40例)接受全胸腔镜下肺叶切除术治疗。对比两组手术指标、症状严重程度、复发率、生存率和并发症发生情况。结果治疗后,腔镜组患者术中出血量少于传统组,手术时间长于传统组,排气时间、引流管放置时间、住院时间短于传统组,差异有统计学意义(P均<0.05)。治疗后,腔镜组患者术后1周及1个月的症状优于传统组,差异有统计学意义(P均<0.05)。两组复发率及生存率对比,差异无统计学意义(P均>0.05)。腔镜组患者并发症发生率为5.00%(2/40),低于传统组的22.50%(9/40),差异有统计学意义(χ^(2)=5.165,P<0.05)。结论全胸腔镜下肺叶切除术相较于传统开胸手术,虽然在早期肺癌治疗中手术耗时较长,但其优势在于术中出血量减少、恢复周期缩短,且术后症状严重程度更轻,并发症的出现概率更低,是一种更安全、有效的早期肺癌治疗方法。Objective To analyze the different effects of total thoracoscopic lobectomy and traditional open thoracic lo⁃bectomy in the treatment of early lung cancer.Methods From January 2015 to February 2021,80 patients with early lung cancer admitted to Yutai County People's Hospital were randomly selected as the research objects.They were di⁃vided into groups according to different surgical methods.The traditional group(40 cases)received traditional open thoracic lobectomy,and the endoscopic group(40 cases)received total thoracoscopic lobectomy.The surgical indexes,symptom severity,recurrence rate,survival rate and complications were compared between the two groups.Results Af⁃ter treatment,the intraoperative blood loss in the endoscopic group was less than that in the traditional group,the op⁃eration time was longer than that in the traditional group,the exhaust time,drainage tube placement time and hospital⁃ization time were shorter than those in the traditional group,and the differences were statistically significant(all P<0.05).After treatment,the symptoms of patients in the endoscopic group were better than those in the traditional group at 1 week and 1 month after operation,and the differences were statistically significant(both P<0.05).There was no significant difference in recurrence rate and survival rate between the two groups(both P>0.05).The incidence of com⁃plications in the laparoscopic group was 5.00%(2/40)lower than that in the traditional group 22.50%(9/40),and the difference was statistically significant(χ^(2)=5.165,P<0.05).Conclusion Compared with traditional open thoracic lobec⁃tomy,total thoracoscopic lobectomy takes longer time in the treatment of early lung cancer,but its advantages are re⁃duced intraoperative blood loss,shortened recovery period,lighter postoperative symptoms,and lower rate of complica⁃tions.It is a safer and more effective treatment for early lung cancer.

关 键 词：全胸腔镜手术 传统开胸手术 肺叶切除术 早期肺癌 治疗效果 

分 类 号：R734.2[医药卫生—肿瘤]