CAJ | 학술논문

目的：对比胸腔镜下与传统开胸中淋巴结清扫的临床价值。方法选取2012年11月～2013年11月收治的68例肺癌患者临床资料，随机分为观察组与对照组，各34例。观察组实施全胸腔镜下治疗，对照组采取传统开胸手术治疗，对比两组患者淋巴结清扫效果。结果两组患者手术时间、术中出血量、术后带胸引管时间、术后住院时间对比；患者淋巴结清扫数、淋巴结转移率、转移度对比；复发率和转移率对比；差异均无统计学意义（P＞0．05）。观察组术后第1天胸液量为（140．83±89．33）mL明显少于对照组的（145．15±93．89）mL，差异有统计学意义（ P＜0．05）。结论与传统开胸手术对比，全胸腔镜下肺癌根治术淋巴结清扫治疗肺癌，安全性更高，减少术后胸液量，实现彻底清扫的治疗目的。
목적：대비흉강경하여전통개흉중림파결청소적림상개치。방법선취2012년11월～2013년11월수치적68례폐암환자림상자료，수궤분위관찰조여대조조，각34례。관찰조실시전흉강경하치료，대조조채취전통개흉수술치료，대비량조환자림파결청소효과。결과량조환자수술시간、술중출혈량、술후대흉인관시간、술후주원시간대비；환자림파결청소수、림파결전이솔、전이도대비；복발솔화전이솔대비；차이균무통계학의의（P＞0．05）。관찰조술후제1천흉액량위（140．83±89．33）mL명현소우대조조적（145．15±93．89）mL，차이유통계학의의（ P＜0．05）。결론여전통개흉수술대비，전흉강경하폐암근치술림파결청소치료폐암，안전성경고，감소술후흉액량，실현철저청소적치료목적。
Objective To compare the clinical value of VATS and conventional open chest lymph node dissec -tion.Methods The clinical data of 68 cases of patients with lung cancer from 2012 November~2013 year in November in our hospital , were randomly divided into observation group and control group , each of 34 cases.The observation group were treated by thoracoscopic treatment , the control group took the traditional open chest operation treatment , compared two groups of patients with lymph node dissection effect .Results The two groups of patients with operation time , intrao-perative bleeding volume , postoperative chest tube time , postoperative hospitalization time comparison patients with lymph dissection , lymph node metastasis rate , contrast; recurrence rate and metastasis rate of contrast; the differences were not statistically significant (P>0.05).The patients in the observation group the 1D chest fluid volume for (140.83 ×104 hm2 was less than that of the control group (145.15+93.89)mL, the difference was statistically significant (P<0.05 ).Conclusions Compared with traditional open chest operation , video-assisted thoracoscopic lung cancer radical resection of lymph node dissection in the treatment of lung cancer , higher safety , reduce postoperative chest fluid vol-ume, realize thorough cleaning treatment objective .