临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
12期
1001-1003
,共3页
肺癌%电视胸腔镜手术%小切口肺叶切除%生存质量
肺癌%電視胸腔鏡手術%小切口肺葉切除%生存質量
폐암%전시흉강경수술%소절구폐협절제%생존질량
Lung cancer%VATS%Small incision lobectomy%Quality of life
目的：探讨电视胸腔镜辅助小切口肺叶切除术在肺癌治疗过程中的应用价值。方法选择肺癌患者80例，按入院顺序随机分为两组，每组各40例，研究组患者使用电视胸腔镜辅助小切口肺叶切除术治疗，对照组采用传统开胸肺叶切除术。比较两组患者手术时间、术中出血量、术后引流时间等一般手术效果及两组患者术后生存质量。结果研究组患者术中出血量、术后引流时间及住院天数分别为（230.5±80.3）ml、（3.5±1.0）d、（8.7±2.4）d，均明显低于对照组，差异具有统计学意义（ P ﹤0.05）；研究组患者术后生存质量总体状况得分为（88.5±8.7），明显高于对照组（70.4±6.2），差异具有统计学意义（ P ﹤0.05）。结论电视胸腔镜辅助小切口肺叶切除术治疗肺癌疗效安全可靠，可显著提高患者术后生存质量，值得推广应用。
目的：探討電視胸腔鏡輔助小切口肺葉切除術在肺癌治療過程中的應用價值。方法選擇肺癌患者80例，按入院順序隨機分為兩組，每組各40例，研究組患者使用電視胸腔鏡輔助小切口肺葉切除術治療，對照組採用傳統開胸肺葉切除術。比較兩組患者手術時間、術中齣血量、術後引流時間等一般手術效果及兩組患者術後生存質量。結果研究組患者術中齣血量、術後引流時間及住院天數分彆為（230.5±80.3）ml、（3.5±1.0）d、（8.7±2.4）d，均明顯低于對照組，差異具有統計學意義（ P ﹤0.05）；研究組患者術後生存質量總體狀況得分為（88.5±8.7），明顯高于對照組（70.4±6.2），差異具有統計學意義（ P ﹤0.05）。結論電視胸腔鏡輔助小切口肺葉切除術治療肺癌療效安全可靠，可顯著提高患者術後生存質量，值得推廣應用。
목적：탐토전시흉강경보조소절구폐협절제술재폐암치료과정중적응용개치。방법선택폐암환자80례，안입원순서수궤분위량조，매조각40례，연구조환자사용전시흉강경보조소절구폐협절제술치료，대조조채용전통개흉폐협절제술。비교량조환자수술시간、술중출혈량、술후인류시간등일반수술효과급량조환자술후생존질량。결과연구조환자술중출혈량、술후인류시간급주원천수분별위（230.5±80.3）ml、（3.5±1.0）d、（8.7±2.4）d，균명현저우대조조，차이구유통계학의의（ P ﹤0.05）；연구조환자술후생존질량총체상황득분위（88.5±8.7），명현고우대조조（70.4±6.2），차이구유통계학의의（ P ﹤0.05）。결론전시흉강경보조소절구폐협절제술치료폐암료효안전가고，가현저제고환자술후생존질량，치득추엄응용。
Objective To explore the significance of small incision lobectomy under the assistance of VATS in treatment of lung cancer. Methods Eighty patients with lung cancer in this hospital were randomly divided into two groups according to the order of admission,each with 40 patients. Patients in study group were treated with small incision lobectomy under the assistance of VATS,and patients in control group were given with traditional pulmonectomy. The difference in operating time,amount of blood loss,postoperative drainage time etc and quality of life after treat-ment between these two groups was compared. Results The amount of blood loss,postoperative drainage time and hospitalization days in study group were(230. 5 ±80. 3)ml,(3. 5 ± 1. 0)d and(8. 7 ± 2. 4)d respectively,and they were significantly lower than those of control group,and the difference was statistically significant( P ﹤0. 05). The overall condition scores of quality of life in patients of study group were 88. 5 ±8. 7,which were significantly higher than those of control group(70. 4 ±6. 2),and the difference was statistically significant( P ﹤0. 05). Conclusion The lo-bectomy with small incision under the assistance of VATS is safe and reliable in treatment of lung cancer,and it can significantly improve the quality of life of patients,hence it should be widely applied.
