胸腔镜下肺段切除术与肺叶切除术治疗早期肺癌的近期疗效对比研究
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- 论文作者：梁卫东 ; 郝明 ; 付强 ; 尚观胜
- 年：2016
- 作者机构：成都医学院附属第一医院胸心外科;
- 论文关键词：胸腔镜肺段切除术 ; 胸腔镜肺叶切除术 ; 早期肺癌 ; 效果分析
- 英文论文关键词：thoracoscopic lung resection surgery ; video-assisted thoracoscopic lobectomy ; early lung cancer ; effect analysis
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R734.2
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：1900k
- 原文格式：D
- 会议级别：全国
摘要
目的:探讨胸腔镜下肺段切除术与肺叶切除术治疗早期肺癌的近期疗效情况。方法:选取2014年1月-2016年1月我院胸外科76例患有早期肺癌的患者,随机分为对照组和治疗组,每组38例。对照组患者采用胸腔镜下肺叶切除术治疗,治疗组患者采用胸腔镜肺段切除术治疗。对比分析两组患者的肺癌近期治疗效果、手术操作时间、住院治疗时间、手术操作过程中的出血量、围术期出现的不良反应、术后疼痛程度、术后视觉模拟评分(VAS)改善幅度。结果:治疗组患者肺癌治疗效果明显优于对照组(P<0.05);手术操作时间和住院治疗时间明显短于对照组(P<0.05);术中出血量、不良反应发生率、明显低于对照组(P<0.05);手术治疗前后VAS的改善幅度明显大于对照组(P<0.05)。结论:相较肺叶切除术,胸腔镜肺段切除术治疗早期肺癌临床效果显著,且临床并发症较少。
Objective: To investigate the situation of recent efficacy of thoracoscopic segmentectomy and lobectomy for early lung cancer. Methods: 76 patients with early lung cancerwere randomly divided into the control group and the treatment group, 38 cases in each group, from January 2014 to January, in our hospital. The control group was treated with thoracoscopiclobectomy treatment, treatment group were treated by thoracoscopic lung resection surgery treatment. Comparative analysis of two groups of patients with lung cancer therapeutic effect, operationtime, length of treatment time, the operating process in the amount of bleeding, confining operation period of adverse reactions, postoperative pain, postoperative visual simulation score(VAS) were improved greatly. Results: treatment of patients with lung cancer effect in treatment group was significantly better than the control group(P < 0.05); operation time and hospitalization timesignificantly shorter than the control group(P < 0.05); the amount of bleeding, adverse reaction occurred rate, was significantly lower than that of the control group(P < 0.05); before and after surgeryin the magnitude of improvement in VAS was significantly greater than that of control group(P < 0.05). Conclusion: compared to lobectomy, thoracoscopic lung resection surgery in the treatmentof early lung cancer clinical effect is remarkable, and clinical complications less.
Objective: To investigate the situation of recent efficacy of thoracoscopic segmentectomy and lobectomy for early lung cancer. Methods: 76 patients with early lung cancerwere randomly divided into the control group and the treatment group, 38 cases in each group, from January 2014 to January, in our hospital. The control group was treated with thoracoscopiclobectomy treatment, treatment group were treated by thoracoscopic lung resection surgery treatment. Comparative analysis of two groups of patients with lung cancer therapeutic effect, operationtime, length of treatment time, the operating process in the amount of bleeding, confining operation period of adverse reactions, postoperative pain, postoperative visual simulation score(VAS) were improved greatly. Results: treatment of patients with lung cancer effect in treatment group was significantly better than the control group(P < 0.05); operation time and hospitalization timesignificantly shorter than the control group(P < 0.05); the amount of bleeding, adverse reaction occurred rate, was significantly lower than that of the control group(P < 0.05); before and after surgeryin the magnitude of improvement in VAS was significantly greater than that of control group(P < 0.05). Conclusion: compared to lobectomy, thoracoscopic lung resection surgery in the treatmentof early lung cancer clinical effect is remarkable, and clinical complications less.
引文
[1]郭建峰,李喆,许瑞彬.胸腔镜肺段切除术治疗肺部疾病的临床研究[J].临床肺科杂志.2015(10):149-150.
[2]顾涛,马春平,陆亚东.全胸腔镜肺叶肺段切除术治疗肺癌的效果观察[J].河北医药.2015(20):104-105.
[3]杨溯,马晓,张亚伟,相加庆,陈海泉,李鹤成.胸腔镜肺段切除术与开放性肺段切除术的临床比较研究[J].肿瘤.2013(06):114-115.
[4]郭建峰,李喆,许瑞彬.胸腔镜肺段切除术治疗肺部疾病的临床研究[J].临床肺科杂志.2015(10):1804-1805.
[5]吴颖猛,黄伟钊,姜海明.胸腔镜下亚肺叶切除及纵隔淋巴结采样治疗早期非小细胞肺癌[J].广东医学.2013(08):231-232.
[2]顾涛,马春平,陆亚东.全胸腔镜肺叶肺段切除术治疗肺癌的效果观察[J].河北医药.2015(20):104-105.
[3]杨溯,马晓,张亚伟,相加庆,陈海泉,李鹤成.胸腔镜肺段切除术与开放性肺段切除术的临床比较研究[J].肿瘤.2013(06):114-115.
[4]郭建峰,李喆,许瑞彬.胸腔镜肺段切除术治疗肺部疾病的临床研究[J].临床肺科杂志.2015(10):1804-1805.
[5]吴颖猛,黄伟钊,姜海明.胸腔镜下亚肺叶切除及纵隔淋巴结采样治疗早期非小细胞肺癌[J].广东医学.2013(08):231-232.