中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2015年
5期
510-511
,共2页
徐卫华%陈勇兵%蒋堪秋%钱永跃%彭勇
徐衛華%陳勇兵%蔣堪鞦%錢永躍%彭勇
서위화%진용병%장감추%전영약%팽용
胸腔镜%癌,非小细胞肺%手术后并发症
胸腔鏡%癌,非小細胞肺%手術後併髮癥
흉강경%암,비소세포폐%수술후병발증
Thoracoscopes%Cacinoma,non-small cell lung%Postoperative complications
目的 对比电视胸腔镜手术与传统开胸手术治疗老年非小细胞肺癌患者术后心肺并发症发生情况.方法 选择我院2010年3月至2014年6月收治的122例老年非小细胞肺癌患者,参照随机数字表法分为观察组和对照组,各61例.观察组患者采用电视胸腔镜手术切除肺叶,对照组患者采用传统开胸手术切除肺叶.对比两组患者术后心肺并发症的发生情况和心肺功能指标.结果 术前两组患者心肺功能相关指标比较差异无统计学意义(P＞0.05).术后观察组患者第1 s用力呼气容积和最大通气量等肺功能指标水平均大于对照组(P＜0.05);观察组患者心率低于对照组(t=5.677,P＜0.05).观察组心肺并发症发生率13.1％低于对照组心肺并发症发生率27.9％(x2=4.075,P=0.044).结论 电视胸腔镜手术用于治疗老年非小细胞肺癌,有利于患者心肺功能恢复,减少术后心肺并发症.
目的 對比電視胸腔鏡手術與傳統開胸手術治療老年非小細胞肺癌患者術後心肺併髮癥髮生情況.方法 選擇我院2010年3月至2014年6月收治的122例老年非小細胞肺癌患者,參照隨機數字錶法分為觀察組和對照組,各61例.觀察組患者採用電視胸腔鏡手術切除肺葉,對照組患者採用傳統開胸手術切除肺葉.對比兩組患者術後心肺併髮癥的髮生情況和心肺功能指標.結果 術前兩組患者心肺功能相關指標比較差異無統計學意義(P＞0.05).術後觀察組患者第1 s用力呼氣容積和最大通氣量等肺功能指標水平均大于對照組(P＜0.05);觀察組患者心率低于對照組(t=5.677,P＜0.05).觀察組心肺併髮癥髮生率13.1％低于對照組心肺併髮癥髮生率27.9％(x2=4.075,P=0.044).結論 電視胸腔鏡手術用于治療老年非小細胞肺癌,有利于患者心肺功能恢複,減少術後心肺併髮癥.
목적 대비전시흉강경수술여전통개흉수술치료노년비소세포폐암환자술후심폐병발증발생정황.방법 선택아원2010년3월지2014년6월수치적122례노년비소세포폐암환자,삼조수궤수자표법분위관찰조화대조조,각61례.관찰조환자채용전시흉강경수술절제폐협,대조조환자채용전통개흉수술절제폐협.대비량조환자술후심폐병발증적발생정황화심폐공능지표.결과 술전량조환자심폐공능상관지표비교차이무통계학의의(P＞0.05).술후관찰조환자제1 s용력호기용적화최대통기량등폐공능지표수평균대우대조조(P＜0.05);관찰조환자심솔저우대조조(t=5.677,P＜0.05).관찰조심폐병발증발생솔13.1％저우대조조심폐병발증발생솔27.9％(x2=4.075,P=0.044).결론 전시흉강경수술용우치료노년비소세포폐암,유리우환자심폐공능회복,감소술후심폐병발증.
Objective To compare the incidence of cardiopulmonary complications between treatment of video assisted thoracoscopic operation and traditional thoracotomy operation in elderly patients with non-small cell lung cancer.Methods 122 cases of elderly patients with non small cell lung cancer were treated in our hospital from Mar 2010 to Jun 2014,and randomly divided into observation group (therapeutic lobectomy by video assisted thoracoscopic operation) and control group (therapeutic lobectomy by traditional thoracotomy operation) (n=61,each).The postoperative cardiopulmonary complications and relevant indexes of cardiopulmonary function were analyzed and compared between the two groups.Results Before operation,there was no significant difference in the relevant indexes of cardiopulmonary function between the two groups (P＞0.05).After operation,the forced expiratory volume in one second (FEV1) and maximal ventilatory volume (MMV) were higher and the heart rate was lower in observation group than in control group (t=3.682,2.243,5.677,all P＜0.05).The incidence of cardiopulmonary complication was lower in observation group than in control group (13.1％ vs.27.9％,x2 =4.075,P=0.044).Conclusions Video assisted thoracoscopic operation is better for the recovery of cardiopulmonary function,and can reduce cardiopulmonary complication in elderly patients with non-small cell lung cancer.
