胸腔镜肺叶切除术治疗肺癌临床价值评价
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摘要
目的探讨对肺癌的患者分别进行胸腔镜肺叶切除术与常规开胸手术的效果分析。方法选取2016年3月—2017年9月我院进行肺癌手术的患者102例作为研究对象,将其随机分为参照组和研究组。研究组采用胸腔镜肺叶切除术,参照组采用传统开放性肺叶切除手术。分析两组患者的手术时间、手术中出血量、住院时间以及手术后不良反应发生概率。结果研究组患者的手术时间、手术中出血量以及住院时间均低于参照组;且研究组手术后不良反应发生的概率低于对照组,组间数据比较,差异具有统计学意义(P <0.05)。结论胸腔镜肺叶切除术可以降低手术时间和患者住院时间,减少不良反应的发生,减少患者手术中的出血量,促进患者康复。
Objective To investigate the effect of thoracoscopic lobectomy and conventional thoracotomy in patients with lung cancer. Methods 102 patients who underwent lung cancer surgery in our hospital from March2016 to September 2017 were selected as the study subjects. They were randomly divided into the reference group and the research group. The study group underwent thoracoscopic lobectomy. The control group was treated with traditional open lobectomy. The operation time, bleeding volume, hospitalization time and the incidence of adverse reactions were analyzed. Results The operation time, bleeding volume and hospitalization time in the study group were lower than those in the control group. The incidence of adverse reactions after operation in the study group was lower than that in the control group, and the difference between the two groups was statistically significant(P < 0.05). Conclusion Video-assisted thoracoscopic lobectomy can reduce the operation time and hospitalization time, reduce the incidence of adverse reactions, reduce the amount of bleeding during operation, and promote the rehabilitation of patients.
Objective To investigate the effect of thoracoscopic lobectomy and conventional thoracotomy in patients with lung cancer. Methods 102 patients who underwent lung cancer surgery in our hospital from March2016 to September 2017 were selected as the study subjects. They were randomly divided into the reference group and the research group. The study group underwent thoracoscopic lobectomy. The control group was treated with traditional open lobectomy. The operation time, bleeding volume, hospitalization time and the incidence of adverse reactions were analyzed. Results The operation time, bleeding volume and hospitalization time in the study group were lower than those in the control group. The incidence of adverse reactions after operation in the study group was lower than that in the control group, and the difference between the two groups was statistically significant(P < 0.05). Conclusion Video-assisted thoracoscopic lobectomy can reduce the operation time and hospitalization time, reduce the incidence of adverse reactions, reduce the amount of bleeding during operation, and promote the rehabilitation of patients.
引文
[1]张艳娇,高禹舜.肺癌胸腔镜肺叶切除、胸腔镜肺段切除与开胸肺叶切除术后对肺功能影响的研究[J].中国肺癌杂志,2016,19(10):700-704.
[2]赵纯,曹隆想,张翀,等.胸腔镜下肺段切除术与肺叶切除术治疗肺癌的近期疗效评估[J].华中科技大学学报(医学版),2015,44(2):213-216,222.
[3]王安生,刘以尧,段贵新,等.肺癌患者完全胸腔镜与开胸肺叶切除术后近期生活质量的比较[J].中国微创外科杂志,2014,5(14):439-441.
[4]王冬冬,丁成,陈俊.全胸腔镜下与开胸肺叶切除术治疗早期肺癌疗效对比观察[J].山东医药,2014,16(54):61-63.
[5]张震楚,张明星,王建生,等.胸腔镜肺叶切除术对肺癌患者疗效及血流动力学的影响[J].临床肺科杂志,2014,12(19):2229-2232.
[6]潘月莲.肺癌胸腔镜肺叶切除术后患者疼痛的评估及护理[J].实用临床护理学杂志,2018,4(3):139-140.
[7]李伟,宫强,郭志敏,等.完全胸腔镜与传统开胸肺叶切除术对患者动脉血气影响的研究[J].临床肺科杂志,2016,21(3):474-477.
[8]高庆军.胸腔镜下肺癌根治术治疗非小细胞肺癌的应用及患者术后生存分析[J].临床医药文献电子杂志,2017,4(63):12346.
[9]郑江敏,高文华,李栋,等.全胸腔镜肺叶切除术对早期非小细胞肺癌远期生存率的影响及预后相关因素[J].医学综述,2015,21(23):4363-4365.
[10]张伟,何建军,许静,等. 721例非小细胞肺癌临床病理学特征分析[J].现代肿瘤医学,2016,24(15):2393-2397.
[11]侯量,朱佳龙,顾国军.非小细胞肺癌患者行胸腔镜下手术治疗的围术期状况及远期生存状况研究[J].中国内镜杂志,2016,22(8):70-73.
[12]王彪,唐震,刘学刚,等.全胸腔镜下肺叶切除治疗非小细胞肺癌[J].中国内镜杂志,2015,21(3):235-238.
[2]赵纯,曹隆想,张翀,等.胸腔镜下肺段切除术与肺叶切除术治疗肺癌的近期疗效评估[J].华中科技大学学报(医学版),2015,44(2):213-216,222.
[3]王安生,刘以尧,段贵新,等.肺癌患者完全胸腔镜与开胸肺叶切除术后近期生活质量的比较[J].中国微创外科杂志,2014,5(14):439-441.
[4]王冬冬,丁成,陈俊.全胸腔镜下与开胸肺叶切除术治疗早期肺癌疗效对比观察[J].山东医药,2014,16(54):61-63.
[5]张震楚,张明星,王建生,等.胸腔镜肺叶切除术对肺癌患者疗效及血流动力学的影响[J].临床肺科杂志,2014,12(19):2229-2232.
[6]潘月莲.肺癌胸腔镜肺叶切除术后患者疼痛的评估及护理[J].实用临床护理学杂志,2018,4(3):139-140.
[7]李伟,宫强,郭志敏,等.完全胸腔镜与传统开胸肺叶切除术对患者动脉血气影响的研究[J].临床肺科杂志,2016,21(3):474-477.
[8]高庆军.胸腔镜下肺癌根治术治疗非小细胞肺癌的应用及患者术后生存分析[J].临床医药文献电子杂志,2017,4(63):12346.
[9]郑江敏,高文华,李栋,等.全胸腔镜肺叶切除术对早期非小细胞肺癌远期生存率的影响及预后相关因素[J].医学综述,2015,21(23):4363-4365.
[10]张伟,何建军,许静,等. 721例非小细胞肺癌临床病理学特征分析[J].现代肿瘤医学,2016,24(15):2393-2397.
[11]侯量,朱佳龙,顾国军.非小细胞肺癌患者行胸腔镜下手术治疗的围术期状况及远期生存状况研究[J].中国内镜杂志,2016,22(8):70-73.
[12]王彪,唐震,刘学刚,等.全胸腔镜下肺叶切除治疗非小细胞肺癌[J].中国内镜杂志,2015,21(3):235-238.