实用肿瘤学杂志
實用腫瘤學雜誌
실용종류학잡지
Practical Oncology Journal
2015年
5期
409-413
,共5页
胸腔镜检查%淋巴结清扫术%肺癌%肺功能%生存率
胸腔鏡檢查%淋巴結清掃術%肺癌%肺功能%生存率
흉강경검사%림파결청소술%폐암%폐공능%생존솔
Thoracoscopy%Lymphadenectomy%Lung cancer%Lung function%Survival
目的 探讨胸腔镜肺叶切除术及淋巴清扫术对不同病理类型肺癌患者肺功能、生存率的影响. 方法 选取2009年6月-2011年9月在我院接受胸腔镜肺叶切除术及纵隔淋巴清扫术的125例肺癌患者作为研究对象,根据病理类型分为腺癌组( AG)、鳞癌组( SG)、大细胞癌组( LG) ,观察手术前后临床效果、肺功能指标及生存率等. 结果 LG组在手术时间、术中出血量、术后胸管引流量方面均高于SG组、AG组(P<0.05);AG 组在术中出血量、术后胸管引流量及术后恢复时间方面均高于SG组( P<0.05);LG组在FVC%方面高于AG组( P<0.05);LG组、AG组在FVC%、FEF50%、FEF75%方面与SG组有统计学差异(P<0.05);18个月后各组患者生存率均低于第12个月的随访结果 (P<0.05),SG组在12、18个月的生存率均高于AG组、LG组(P<0.05). 结论 胸腔镜肺叶切除术联合淋巴结清扫术治疗不同病理类型肺癌患者时,大细胞癌手术治疗时手术时间、术中出血量、术后胸管引流量方面均高于腺癌、鳞癌患者;鳞癌患者生存率及身体评价均高于其他各组.
目的 探討胸腔鏡肺葉切除術及淋巴清掃術對不同病理類型肺癌患者肺功能、生存率的影響. 方法 選取2009年6月-2011年9月在我院接受胸腔鏡肺葉切除術及縱隔淋巴清掃術的125例肺癌患者作為研究對象,根據病理類型分為腺癌組( AG)、鱗癌組( SG)、大細胞癌組( LG) ,觀察手術前後臨床效果、肺功能指標及生存率等. 結果 LG組在手術時間、術中齣血量、術後胸管引流量方麵均高于SG組、AG組(P<0.05);AG 組在術中齣血量、術後胸管引流量及術後恢複時間方麵均高于SG組( P<0.05);LG組在FVC%方麵高于AG組( P<0.05);LG組、AG組在FVC%、FEF50%、FEF75%方麵與SG組有統計學差異(P<0.05);18箇月後各組患者生存率均低于第12箇月的隨訪結果 (P<0.05),SG組在12、18箇月的生存率均高于AG組、LG組(P<0.05). 結論 胸腔鏡肺葉切除術聯閤淋巴結清掃術治療不同病理類型肺癌患者時,大細胞癌手術治療時手術時間、術中齣血量、術後胸管引流量方麵均高于腺癌、鱗癌患者;鱗癌患者生存率及身體評價均高于其他各組.
목적 탐토흉강경폐협절제술급림파청소술대불동병리류형폐암환자폐공능、생존솔적영향. 방법 선취2009년6월-2011년9월재아원접수흉강경폐협절제술급종격림파청소술적125례폐암환자작위연구대상,근거병리류형분위선암조( AG)、린암조( SG)、대세포암조( LG) ,관찰수술전후림상효과、폐공능지표급생존솔등. 결과 LG조재수술시간、술중출혈량、술후흉관인류량방면균고우SG조、AG조(P<0.05);AG 조재술중출혈량、술후흉관인류량급술후회복시간방면균고우SG조( P<0.05);LG조재FVC%방면고우AG조( P<0.05);LG조、AG조재FVC%、FEF50%、FEF75%방면여SG조유통계학차이(P<0.05);18개월후각조환자생존솔균저우제12개월적수방결과 (P<0.05),SG조재12、18개월적생존솔균고우AG조、LG조(P<0.05). 결론 흉강경폐협절제술연합림파결청소술치료불동병리류형폐암환자시,대세포암수술치료시수술시간、술중출혈량、술후흉관인류량방면균고우선암、린암환자;린암환자생존솔급신체평개균고우기타각조.
Objective To investigate the VATS lobectomy and lymph node dissection impact on lung function and the survival rate in patients with different pathological types of lung cancer.Methods One hundred and twenty five cases of lung cancer patients underwent laparoscopic lobectomy and mediastinal lymph node dis-section as research subjects from June 2009 to September 2011 in our hospital.The patients were divided into pa-thology group( AG) ,squamous cell carcinoma( SG) and large cell carcinoma group( LG) according to the type of cancer.The clinical effects were observed before and after surgery,lung function and survival rate.Results LG Group in operative time,blood loss and postoperative chest tube drainage were higher than SG group AG group( P<0.05);AG group blood loss,postoperative chest tube drainage,blood transfusion after surgery and postoperative recovery times were higher than the SG group(P<0.05);LG group was higher than AG group(P<0.05)in terms of FVC%;LG Group,AG group in FVC%,FEF50%,FEF75%respects SG group were significantly differ-ent(P<0.05);18-month survival rate of patients in each group after the first follow up results of less than 12 months(P<0.05).SG group at 12,18-month survival rates were higher than AG group and LG group(P<0.05).Conclusion Laparoscopic lobectomy combined treatment of pathological lymph node dissection in pa-tients with different types of lung cancer,large cell carcinoma surgery operative time,blood loss and postoperative chest tube drainaged are higher than adenocarcinoma,squamous cell carcinoma;squamous cell survival and physi-cal evaluation of patients are higher than the other groups.
