CAJ | 학술논문

目的：探讨电视胸腔镜在早期NSCLC切除中的中远期疗效及安全性分析。方法将64例进行电视胸腔镜手术的Ⅰ-Ⅱ期NSCLC作为观察组,并与同期进行常规开胸手术的54例患者进行对照研究。结果电视胸腔镜组的止痛药使用率、手术时间、术中出血量、引流时间、术后引流量及住院时间均显著低于常规开胸组,P<0.05,电视胸腔镜组与常规开胸组3年生存率、5年生存率及并发症比较无统计学差异,P>0.05。结论电视胸腔镜手术在早期NSCLC患者切除中具有术后恢复快、住院时间短,疗效确切、安全等特点。
목적：탐토전시흉강경재조기NSCLC절제중적중원기료효급안전성분석。방법장64례진행전시흉강경수술적Ⅰ-Ⅱ기NSCLC작위관찰조,병여동기진행상규개흉수술적54례환자진행대조연구。결과전시흉강경조적지통약사용솔、수술시간、술중출혈량、인류시간、술후인류량급주원시간균현저저우상규개흉조,P<0.05,전시흉강경조여상규개흉조3년생존솔、5년생존솔급병발증비교무통계학차이,P>0.05。결론전시흉강경수술재조기NSCLC환자절제중구유술후회복쾌、주원시간단,료효학절、안전등특점。
Objective To explore the efficacy and safety of video-assisted thoracic surgery in the treatment of patients with non-small cell lung cancer at Ⅰ-Ⅱ period. Methods 64 NSCLC patients at Ⅰ-Ⅱ period treated with video-assisted thoracoscopic surgery were selected as the observation group, and 54 NSCLC patients atⅠ-Ⅱpe-riod treated with conventional thoracotomy were taken as the control group. Results Analgesics usage, operation time, blood loss, drainage time, postoperative drainage and hospital stay were all lower in the observation group than in the control group (P<0. 05), but there was no significant difference in 3-year and 5-year survival rate and com-plications between the two groups (P>0. 05). Conclusion VATS surgery has the advantages of rapid postoperative recovery, short duration of hospital stay, good efficacy and high safety in the treatment of patients with non-small cell lung cancer at Ⅰ-Ⅱ period.