中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
13期
55-57
,共3页
原发性非小细胞肺癌%电视胸腔镜%开胸术%应用价值
原髮性非小細胞肺癌%電視胸腔鏡%開胸術%應用價值
원발성비소세포폐암%전시흉강경%개흉술%응용개치
Primary non-small cell lung cancer%Video-assisted thoracoscopy%Thoracotomy%Appilication value
目的：比较电视胸腔镜与传统开胸肺叶切除术治疗原发性非小细胞肺癌的疗效。方法根据患者意愿将86例患者分为观察组和对照组各43例。对照组使用传统开胸手术，观察组采用电视胸腔镜肺叶切除术。观察两组术中出血量、手术时间、杜冷丁用量、胸腔引流超过100 ml 天数、淋巴结清扫数目、住院时间、血糖（GLU）、血清前白蛋白（PA）、白细胞计数（WBC）等指标变化，以评价疗效。结果观察组切口长度、术中出血量、术后杜冷丁用量、引流超过100 ml 天数、住院时间明显低于对照组，住院费用显著高于对照组（P <0.05）。两组术后 GLU、WBC、PA等指标比较差异有统计学意义（P <0.01）。结论相比于传统开胸肺叶切除术，电视胸腔镜治疗原发性非小细胞肺癌具有更好的疗效，但是住院费用较高，在具体的选择上要根据患者的经济承受能力，尊重患者自愿予以选择。
目的：比較電視胸腔鏡與傳統開胸肺葉切除術治療原髮性非小細胞肺癌的療效。方法根據患者意願將86例患者分為觀察組和對照組各43例。對照組使用傳統開胸手術，觀察組採用電視胸腔鏡肺葉切除術。觀察兩組術中齣血量、手術時間、杜冷丁用量、胸腔引流超過100 ml 天數、淋巴結清掃數目、住院時間、血糖（GLU）、血清前白蛋白（PA）、白細胞計數（WBC）等指標變化，以評價療效。結果觀察組切口長度、術中齣血量、術後杜冷丁用量、引流超過100 ml 天數、住院時間明顯低于對照組，住院費用顯著高于對照組（P <0.05）。兩組術後 GLU、WBC、PA等指標比較差異有統計學意義（P <0.01）。結論相比于傳統開胸肺葉切除術，電視胸腔鏡治療原髮性非小細胞肺癌具有更好的療效，但是住院費用較高，在具體的選擇上要根據患者的經濟承受能力，尊重患者自願予以選擇。
목적：비교전시흉강경여전통개흉폐협절제술치료원발성비소세포폐암적료효。방법근거환자의원장86례환자분위관찰조화대조조각43례。대조조사용전통개흉수술，관찰조채용전시흉강경폐협절제술。관찰량조술중출혈량、수술시간、두랭정용량、흉강인류초과100 ml 천수、림파결청소수목、주원시간、혈당（GLU）、혈청전백단백（PA）、백세포계수（WBC）등지표변화，이평개료효。결과관찰조절구장도、술중출혈량、술후두랭정용량、인류초과100 ml 천수、주원시간명현저우대조조，주원비용현저고우대조조（P <0.05）。량조술후 GLU、WBC、PA등지표비교차이유통계학의의（P <0.01）。결론상비우전통개흉폐협절제술，전시흉강경치료원발성비소세포폐암구유경호적료효，단시주원비용교고，재구체적선택상요근거환자적경제승수능력，존중환자자원여이선택。
Objective To compare the effects of traditional thoracotomy and VATS lobectomy on primary non-small cell lung cancer. Methods Eighty-six patients were voluntarily divided into observa-tion group and control group,with 43 cases in each group. Patients in control group were given conven-tional thoracotomy,and patients in observation group were given VATS lobectomy. Blood loss during op-eration,operative time,pethidine dosage,days of pleural drainage over 100 ml,number of lymph node dissection,hospitalization time,blood glucose(GLU),prealbumin(PA),white blood cell count(WBC) and other indicators were observed in the two groups to evaluate the effects. Results The length of inci-sion,blood loss during operation,postoperative pethidine dosage,days of draining more than 100 ml, hospital stay in observation group were significantly lower than those in control group,and hospital costs in the observation group were significantly higher than those in control group(P < 0. 05). There were sig-nificant differences in GLU,WBC,PA and other indicatorsafter operation between the two groups(P <0. 01). Conclusions Compared with the traditional thoracotomy lobectomy,VATS treatment has better effect on primary non-small cell lung cancer,but the hospital costs were higher,the choice should be based on the patient’s affordability,according to the principle of voluntarily.
