CAJ | 학술논문

目的：探讨完全胸腔镜肺叶切除术对肺癌患者术后近期生活质量的影响。方法2012年10月～2013年12月，40例早期非小细胞肺癌患者自行选择手术方式，19例行完全胸腔镜肺叶切除术（胸腔镜组），21例行传统开胸肺叶切除术（开胸组）。术后3个月利用肺癌患者癌症治疗功能性量表（Functional Assessment of Cancer Treatment-Lung，FACT-L）中文版对患者生活质量进行评价。结果胸腔镜组在身体状况（19．90±1．30 vs．17．10±1．40，t＝6．533，P＝0.000），情感状况（16．95±1．25 vs．14．15±2．05，t＝5．147，P＝0．000），功能状况（18．50±2．35 vs．16．45±2．45，t＝2．694，P＝0．025）及附加状况（20．40±2．35 vs．18．45±1．25，t＝3．321，P＝0．009）方面评分均高于开胸组，在社会及家庭状况方面两组评分差异无显著性。胸腔镜组术后生活质量总体状况评分高于开胸组（89．50±6．54 vs．81．40±6．25，t＝4．004，P＝0.003）。结论完全胸腔镜肺叶切除术对肺癌患者术后的生活质量影响明显小于传统开胸肺叶切除术。
목적：탐토완전흉강경폐협절제술대폐암환자술후근기생활질량적영향。방법2012년10월～2013년12월，40례조기비소세포폐암환자자행선택수술방식，19례행완전흉강경폐협절제술（흉강경조），21례행전통개흉폐협절제술（개흉조）。술후3개월이용폐암환자암증치료공능성량표（Functional Assessment of Cancer Treatment-Lung，FACT-L）중문판대환자생활질량진행평개。결과흉강경조재신체상황（19．90±1．30 vs．17．10±1．40，t＝6．533，P＝0.000），정감상황（16．95±1．25 vs．14．15±2．05，t＝5．147，P＝0．000），공능상황（18．50±2．35 vs．16．45±2．45，t＝2．694，P＝0．025）급부가상황（20．40±2．35 vs．18．45±1．25，t＝3．321，P＝0．009）방면평분균고우개흉조，재사회급가정상황방면량조평분차이무현저성。흉강경조술후생활질량총체상황평분고우개흉조（89．50±6．54 vs．81．40±6．25，t＝4．004，P＝0.003）。결론완전흉강경폐협절제술대폐암환자술후적생활질량영향명현소우전통개흉폐협절제술。
Objective To explore patients ’ quality of life after complete video-assisted thoracoscopic pulmonary lobectomy for early stage lung cancer . Methods A total of 40 cases of early stage non-small cell lung cancer were divided into thoracoscopy group and open group according to their own choice of treatment from October 2012 to December 2013.Thoracoscopy group (19 cases) underwent complete thoracoscopic lobectomy and open group (21 cases) received conventional open pulmonary lobectomy .Patients’ quality of life was assessed by the Chinese version of Functional Assessment of Cancer Treatment -Lung ( FACT-L ) 3 months after surgery. Results The scores of thoracoscopy group were higher than the open group in patients ’ physical conditions (19.90 ±1.30 vs.17.10 ±1.40, t=6.533, P=0.000), emotional status (16.95 ±1.25 vs.14.15 ±2.05, t=5.147, P=0.000), functional status (18.50 ±2.35 vs.16.45 ±2.45, t=2.694, P=0.025), and the additional conditions (20.40 ±2.35 vs.18.45 ±1.25, t=3.321, P=0.009).No significant differences were found between the two groups in social and family conditions .The overall scores of the quality of life of thoracoscopy group were higher than that of open group (89.50 ±6.54 vs.81.40 ±6.25, t=4.004, P=0.003). Conclusion Complete video-assisted thoracoscopic pulmonary lobectomy has much less negative impact on the postoperative life quality of lung cancer patients than traditional open pulmonary lobectomy .