海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
9期
1337-1338
,共2页
胸腔镜肺叶切除术%早期周围型肺癌%临床疗效
胸腔鏡肺葉切除術%早期週圍型肺癌%臨床療效
흉강경폐협절제술%조기주위형폐암%림상료효
VATS lobectomy%Early peripheral lung cancer%Efficacy
目的：探讨胸腔镜肺叶切除术治疗老年早期周围型肺癌的临床疗效。方法将我院2011年1月至2013年1月收治的64例早期周围型肺癌患者按照入院顺序随机分为两组，每组各32例，其中对照组采取传统开胸手术，观察组采取腹腔镜肺叶切除术，比较两组手术及术后并发症发生情况。结果两组手术时间比较差异无统计学意义(P>0.05)，而观察组术中出血量、切口长度、术后疼痛评分及平均住院时间分别为(82.10±5.9) ml、(3.02±0.12) cm、(4.35±0.53)分和(5.32±0.72) d，均明显少于对照组，差异均有统计学意义(P<0.05)；观察组并发症发生率为6.25%，也明显低于对照组的15.63%，差异有统计学意义(P<0.05)。结论胸腔镜肺叶切除术治疗老年早期周围型肺癌疗效显著，具有创伤小、出血少、术后恢复快的优势，值得临床推广应用。
目的：探討胸腔鏡肺葉切除術治療老年早期週圍型肺癌的臨床療效。方法將我院2011年1月至2013年1月收治的64例早期週圍型肺癌患者按照入院順序隨機分為兩組，每組各32例，其中對照組採取傳統開胸手術，觀察組採取腹腔鏡肺葉切除術，比較兩組手術及術後併髮癥髮生情況。結果兩組手術時間比較差異無統計學意義(P>0.05)，而觀察組術中齣血量、切口長度、術後疼痛評分及平均住院時間分彆為(82.10±5.9) ml、(3.02±0.12) cm、(4.35±0.53)分和(5.32±0.72) d，均明顯少于對照組，差異均有統計學意義(P<0.05)；觀察組併髮癥髮生率為6.25%，也明顯低于對照組的15.63%，差異有統計學意義(P<0.05)。結論胸腔鏡肺葉切除術治療老年早期週圍型肺癌療效顯著，具有創傷小、齣血少、術後恢複快的優勢，值得臨床推廣應用。
목적：탐토흉강경폐협절제술치료노년조기주위형폐암적림상료효。방법장아원2011년1월지2013년1월수치적64례조기주위형폐암환자안조입원순서수궤분위량조，매조각32례，기중대조조채취전통개흉수술，관찰조채취복강경폐협절제술，비교량조수술급술후병발증발생정황。결과량조수술시간비교차이무통계학의의(P>0.05)，이관찰조술중출혈량、절구장도、술후동통평분급평균주원시간분별위(82.10±5.9) ml、(3.02±0.12) cm、(4.35±0.53)분화(5.32±0.72) d，균명현소우대조조，차이균유통계학의의(P<0.05)；관찰조병발증발생솔위6.25%，야명현저우대조조적15.63%，차이유통계학의의(P<0.05)。결론흉강경폐협절제술치료노년조기주위형폐암료효현저，구유창상소、출혈소、술후회복쾌적우세，치득림상추엄응용。
Objective To investigate the application of VATS lobectomy in elderly patients with early pe-ripheral lung cancer. Methods 64 patients with early peripheral lung cancer from January 2011 to January 2013 were randomly divided into two groups according to order of admission, each group had 32 cases, and the control group was given the traditional thoracotomy while the observation group was given laparoscopic lobectomy. The sur-gery and postoperative complications were compared between the two groups. Results There was no significant dif-ference in operative time between the two groups;the blood loss, the length of incision, postoperative pain scores and the average hospital stay were (82.10±5.92) ml, (3.02±0.12) cm, (4.35±0.53) points and (5.32±0.72) d, and significant-ly less than those in the control group (P<0.05);the complication rate of the observation group was 6.25%, which was significantly lower than 15.63%of the control group (P<0.05). Conclusions The VATS lobectomy is significantly effective in the treatment of early peripheral lung cancer, ,with little trauma and bleeding, and rapid postoperative re-covery advantages.
