CAJ | 학술논문

目的：探讨常规开胸手术对照胸腔镜下肺癌根治术疗效的分析。方法选取84例肺癌患者，按照随机数字表法分为治疗组与对照组，治疗组44例，给予胸腔镜下肺癌根治；对照组40例，采用常规开胸根治。比较两组术后KPS评分及术中指征的变化。结果①两组术后1、2、4、6 d KPS评分比较具有显著性差异(P＜0.05)。②治疗组与对照组术中出血量、切口长度、术后置管时间、引流量、止痛药用量、住院时间比较均具有统计学意义（P＜0.05）。结论胸腔镜下肺癌根治术可以提高患者的KPS评分，改善患者指征，具有一定的临床应用价值。
목적：탐토상규개흉수술대조흉강경하폐암근치술료효적분석。방법선취84례폐암환자，안조수궤수자표법분위치료조여대조조，치료조44례，급여흉강경하폐암근치；대조조40례，채용상규개흉근치。비교량조술후KPS평분급술중지정적변화。결과①량조술후1、2、4、6 d KPS평분비교구유현저성차이(P＜0.05)。②치료조여대조조술중출혈량、절구장도、술후치관시간、인류량、지통약용량、주원시간비교균구유통계학의의（P＜0.05）。결론흉강경하폐암근치술가이제고환자적KPS평분，개선환자지정，구유일정적림상응용개치。
Objective Efifcacy analysis of conventional thoracotomy comparison thoracoscopic lung resection. Methods 84 cases who had lung cancer were divided into the treatment group and control group, treatment group (44 cases) given under thoracoscopic lung cancer, control group (40 cases) given conventional thoracotomy. Comparison KPS score and middle ifnger changes. Results ①The KPS score were signiifcantly different in 1 d, 2 d, 4 d and 6d (P<0.05).②The level of intraoperative blood loss, length of incision, postoperative catheter time, lfow rate and dosage of painkiller, length of hospital stay in groups (P<0.05). Conclusion The thoracoscopic lung cancer radical can improve the KPS score, improve patient indications.