CAJ | 학술논문

目的：探讨胸腔镜下手术治疗对早期非小细胞肺癌患者的临床疗效。方法选取我院48例早期非小细胞肺癌患者，随机均分为胸腔镜组(全胸腔镜下肺癌根治术)和常规开胸组(传统开胸肺癌根治术)，比较两组术中和术后情况、治疗总有效率和并发症发生率的差异。结果胸腔镜组手术时间、切口长度、术中出血量、引流管留置时间、住院时间和并发症发生率均显著低于常规开胸组( P<0．05)；两组治疗总有效率比较差异无显著性(P>0．05)。结论采用胸腔镜下手术治疗治疗早期非小细胞肺癌患者安全有效。
목적：탐토흉강경하수술치료대조기비소세포폐암환자적림상료효。방법선취아원48례조기비소세포폐암환자，수궤균분위흉강경조(전흉강경하폐암근치술)화상규개흉조(전통개흉폐암근치술)，비교량조술중화술후정황、치료총유효솔화병발증발생솔적차이。결과흉강경조수술시간、절구장도、술중출혈량、인류관류치시간、주원시간화병발증발생솔균현저저우상규개흉조( P<0．05)；량조치료총유효솔비교차이무현저성(P>0．05)。결론채용흉강경하수술치료치료조기비소세포폐암환자안전유효。
Objective To investigate the clinical efficacy of video-assisted thoracoscopic surgery ( VATS ) for patients with early-stage non-small cell lung cancer ( NSCLC) . Methods 48 patients with early-stage NSCLC in our hospital were randomly divided into the VATS group ( full thoracoscopic lung resection) and the conventional tho-racotomy group ( conventional thoracotomy lung resection) . The intraoperative and postoperative conditions, total ef-fective rate and complications of the two groups were compared. Results The improvement of operative time, inci-sion length, blood loss, drainage tube indwelling time, mean postoperative hospital stay and complications was more pronounced in the VATS group than in the conventional thoracotomy group (P<0. 05). The total effective rate of the two groups had no significant difference (P>0. 05). Conclusion VATS is a safe and effective method in the treat-ment of patients with early-stage NSCLC.