中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
36期
50-51
,共2页
新辅助放疗%肺叶切除术%超声刀%电刀
新輔助放療%肺葉切除術%超聲刀%電刀
신보조방료%폐협절제술%초성도%전도
Neoadjuvant radiotherapy%Pulmonary lobectomy%Ultrasound knife%Electrotome
目的：观察超声刀在行新辅助放疗后的中晚期非小细胞肺癌手术中的临床应用价值。方法：同期使用超声刀(35例)和电刀(29例)行肺癌肺叶切除术，对比观察两组的手术时间、术中出血量、术后24 h 胸腔引流量等指标。结果：所有病例均顺利完成手术，超声刀组平均手术时间(100.79±15.04)min，术中平均出血量(50.35±6.42)mL，术后24 h平均胸腔引流量(217.45±32.18)mL；电刀组分别为(95.26±16.59)min、(97.80±10.80)mL、(314.24±36.28)mL；两组比较平均手术时间差异无统计学意义(P＞0.05)，术中平均出血量和术后24 h 平均胸腔引流量差异均有统计学意义(P＜0.05)。术后无胸腔内出血二次手术及手术相关并发症。结论：超声刀在行新辅助放疗后的中晚期非小细胞肺癌手术中具有精确切割、损伤小、出血少、可以提高手术的安全性等优点，值得临床推广应用。
目的：觀察超聲刀在行新輔助放療後的中晚期非小細胞肺癌手術中的臨床應用價值。方法：同期使用超聲刀(35例)和電刀(29例)行肺癌肺葉切除術，對比觀察兩組的手術時間、術中齣血量、術後24 h 胸腔引流量等指標。結果：所有病例均順利完成手術，超聲刀組平均手術時間(100.79±15.04)min，術中平均齣血量(50.35±6.42)mL，術後24 h平均胸腔引流量(217.45±32.18)mL；電刀組分彆為(95.26±16.59)min、(97.80±10.80)mL、(314.24±36.28)mL；兩組比較平均手術時間差異無統計學意義(P＞0.05)，術中平均齣血量和術後24 h 平均胸腔引流量差異均有統計學意義(P＜0.05)。術後無胸腔內齣血二次手術及手術相關併髮癥。結論：超聲刀在行新輔助放療後的中晚期非小細胞肺癌手術中具有精確切割、損傷小、齣血少、可以提高手術的安全性等優點，值得臨床推廣應用。
목적：관찰초성도재행신보조방료후적중만기비소세포폐암수술중적림상응용개치。방법：동기사용초성도(35례)화전도(29례)행폐암폐협절제술，대비관찰량조적수술시간、술중출혈량、술후24 h 흉강인류량등지표。결과：소유병례균순리완성수술，초성도조평균수술시간(100.79±15.04)min，술중평균출혈량(50.35±6.42)mL，술후24 h평균흉강인류량(217.45±32.18)mL；전도조분별위(95.26±16.59)min、(97.80±10.80)mL、(314.24±36.28)mL；량조비교평균수술시간차이무통계학의의(P＞0.05)，술중평균출혈량화술후24 h 평균흉강인류량차이균유통계학의의(P＜0.05)。술후무흉강내출혈이차수술급수술상관병발증。결론：초성도재행신보조방료후적중만기비소세포폐암수술중구유정학절할、손상소、출혈소、가이제고수술적안전성등우점，치득림상추엄응용。
Objective:To observe the clinical application value of ultrasound knife in middle-late stage non-small cell lung cancer surgery after neoadjuvant radiotherapy.Methods:Ultrasound knife(35 cases) and electrotome(29 cases) were given for lung cancer lung resection at the same term.The operation time,intraoperative bleeding amount,postoperative 24 hours chest drainage and other indexes were compared.Results:All patients were successfully completed surgery.The average operation time of the ultrasound knife group was (100.79 ± 15.04)minutes;the intraoperative average bleeding amount was (50.35 ± 6.42)mL;postoperative 24 hours average chest drainage was (217.45±32.18)mL.The electrotome group was respectively (95.26±16.59) minutes,(97.80±10.80)mL,(314.24±36.28)mL.There was no statistically significant between the two groups in average operation time difference(P>0.05);there were statistically significant between the two groups in the intraoperative average bleeding amount and postoperative 24 hours average chest drainage difference(P<0.05).There was no chest hemorrhage secondary surgery and surgery related complications after operation.Conclusion:The ultrasound knife in middle-late stage non-small cell lung cancer surgery after neoadjuvant radiotherapy has the advantages of precise cutting,less damage and less bleeding,improving the surgery safety.It is worthy of clinical application.
