CAJ | 학술논문

目的：探究电视胸腔镜肺癌根治术后患者的并发症及生活质量情况。方法选取98例肺癌患者，根据手术方式分为对照组（传统开胸手术组）49例和观察组（电视胸腔镜手术组）49例，然后将2组患者的总并发症发生率及手术前后的FACT-L量表、VAS量表评分结果进行比较。结果观察组中不同分期者的总并发症发生率均低于对照组，术后1周及4周的FACT-L量表评分均高于对照组，术后第1天及第3天的VAS评分结果也均好于对照组，P均＜0．05。结论电视胸腔镜肺癌根治术后患者并发症及生活质量的情况均好于传统开胸手术，对于患者术后的康复发挥着积极的促进作用。
목적：탐구전시흉강경폐암근치술후환자적병발증급생활질량정황。방법선취98례폐암환자，근거수술방식분위대조조（전통개흉수술조）49례화관찰조（전시흉강경수술조）49례，연후장2조환자적총병발증발생솔급수술전후적FACT-L량표、VAS량표평분결과진행비교。결과관찰조중불동분기자적총병발증발생솔균저우대조조，술후1주급4주적FACT-L량표평분균고우대조조，술후제1천급제3천적VAS평분결과야균호우대조조，P균＜0．05。결론전시흉강경폐암근치술후환자병발증급생활질량적정황균호우전통개흉수술，대우환자술후적강복발휘착적겁적촉진작용。
Objective To study complications and life quality of lung cancer patients treated with video-assisted thoraco-scopic resection .Methods 98 lung cancer patients were divided into the control group ( traditional open chest surgery group ,n=49)and the observation group(video-assisted thoracoscopic resection group,n=49) by the operation method,total complications rates,FACT-L score and VAS score of the 2 groups before and after surgery were compared .Results The total complications rates at different stages of the observation group were all lower than those of the control group ,FACT-L score 1st and 4th week af-ter surgery of the observation group were all higher than those of the control group ,VAS score 1st and 3rd day after surgery of the observation group were all better than those of the control group ,all P<0.05.Conclusion Video-assisted thoracoscopic resec-tion has better complications and life quality for lung cancer patients than traditional open chest surgery ,and it plays a positive role in promoting postoperative rehabilitation of patients .