CAJ | 학술논문

目的分析胸腔镜肺叶切除术治疗原发性非小细胞肺癌的临床价值和安全性.方法将我院2010年5月至2013年2月收治的60例原发性非小细胞肺癌患者随机分为观察组(n=30)和对照组(n=30),观察组患者采用胸腔镜肺叶切除术治疗,对照组患者采用常规开胸肺叶切除术治疗,然后分析两组患者的疗效和安全性.结果观察组患者的手术时间、术中出血量、术后引流量、住院时间和并发症率都显著小于对照组患者(P＜0.05),但是两组患者的淋巴结清扫数目差异无统计学意义(P＞0.05).结论胸腔镜肺叶切除术治疗非小细胞肺癌具有安全、创伤小、恢复快、并发症少等优势,可以作为治疗非小细胞肺癌的首选方法.
목적 분석흉강경폐협절제술치료원발성비소세포폐암적림상개치화안전성.방법 장아원2010년5월지2013년2월수치적60례원발성비소세포폐암환자수궤분위관찰조(n=30)화대조조(n=30),관찰조환자채용흉강경폐협절제술치료,대조조환자채용상규개흉폐협절제술치료,연후분석량조환자적료효화안전성.결과 관찰조환자적수술시간、술중출혈량、술후인류량、주원시간화병발증솔도현저소우대조조환자(P＜0.05),단시량조환자적림파결청소수목차이무통계학의의(P＞0.05).결론 흉강경폐협절제술치료비소세포폐암구유안전、창상소、회복쾌、병발증소등우세,가이작위치료비소세포폐암적수선방법.
Objective To analyze effect and safety of thoracoscopic pulmonary lobectomy in the treatment of primary non-small-cell lung cancer.Methods 60 patients with primary non-small-cell lung cancer in our hospital from May 2010 to February 2013 were randomly divided into observation group (n=30) and control group (n=30).Observation group was given thoracoscopic pulmonary lobectomy,while control group was given open thoracotomy.Then analyzed the effect and safety of two groups.Results The operation time,intraoperative blood loss,postoperative suction drainage,hospitalization time,and rate of complications in observation group were significantly lower than those in control group (P ＜ 0.05).However,there was no significant difference in the number of dissected lymph node between two groups (P ＞ 0.05).Conclusions Thoracoscopic pulmonary lobectomy in the treatment of non-small-cell lung cancer has many advantages,such as safety,minimal invasion,quick recovery,and few complications,which can be preferred method for non-small-cell lung cancer.