摘要
目的探讨全胸腔镜下行肺叶切除术治疗早期非小细胞肺癌的疗效及安全性。方法选取我院2013年7月至2014年12月收治的40例原发性非小细胞肺癌患者,分为实验组(21例)和对照组(19例)。实验组于全胸腔镜下行肺叶切除术,对照组行常规小切口开胸肺叶切除术。比较两组患者的术中出血量、手术时间、住院时间、术后并发症发生率、复发率及术后3年生存率。结果实验组的术中出血量、手术时间及住院时间均明显优于对照组(P<0.05)。实验组术后并发症发生率显著低于对照组(P<0.05)。实验组的复发率明显低于对照组,术后3年生存率明显高于对照组(P均<0.05)。结论全胸腔镜下行肺叶切除术治疗早期非小细胞肺癌的疗效显著,3年生存率高,并发症少,值得临床推广应用。
Objective To explore the curative effect and safety of total thoracoscopic lobectomy in the treatment of early non-small cell lung cancer. Methods 40 cases of patients with primary non-small cell lung cancer admitted to our hospital from July 2013 to December 2014 were selected and divided into experimental group （21 cases） and control group （19 cases）. The experimental group received total thoracoscopic lobectomy, while the control group received routine mini-incision lobectomy. The intraoperative blood loss, operation time, hospitalization time, incidence of postoperative complications, recurrence rate and three 3-year survival rate after operation were compared between the two groups. Results The intraoperative blood loss, operation time and hospitalization time of the experimental group were significantly better than those of the control group （P 〈0.05）. The incidence of postoperative complications of the experimental group was significantly lower than that of the control group （P〈0.05）. The recurrence rate of the experimental group was significantly lower than that of the control group, and 3-year survival rate after operation was significantly higher than that of the control group, with statistical differences （P 〈0.05）. Conclusions Total thoracoscopic lobectomy in the treatment of early non-small cell lung cancer has significant curative effect, higher 3-year survival rate and fewer complications, which is worthy of clinical promotion and application.
作者
骆明浩
陈秀婷
LUO Minghao, CHEN Xiuting(Department of Cardiothoracic Surgery, Huizhou Third People＇s Hospital, Huizhou 516002, Chin)
出处
《临床医学工程》
2018年第3期263-264,共2页
Clinical Medicine & Engineering
基金
惠州市科技计划项目(项目编号:2013y144)
关键词
胸腔镜
肺叶切除术
非小细胞肺癌
疗效
Thoracoscope
Lobectomy
Non-small cell lung cancer
Curative effect
