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目的对比分析全胸腔镜肺叶切除术与开胸手术治疗非小细胞肺癌的临床效果。方法将160例非小细胞肺癌患者随机分为胸腔镜组与开胸组,每组80例。开胸组采用开胸肺叶切除术;全胸腔镜组采用全胸腔镜肺叶切除术。对比分析两组患者的胸腔引流量、术中出血量、手术时间、术后24 h疼痛NRS评分以及术后并发症情况。结果胸腔引流量和术中出血量胸腔镜组少于对照组(P<0.05);手术时间胸腔镜组和开胸组对比差异未见统计学意义(P>0.05);住院时间胸腔镜组短于开胸组(P<0.05);术后24 h疼痛NRS评分胸腔镜组低于开胸组(P<0.05);术后并发症发生率胸腔镜组低于开胸组(P<0.05)。结论非小细胞肺癌患者应用全胸腔镜肺叶切除术临床效果明显优于开胸手术。
Objective To compare the clinical effects of total thoracoscopic lobectomy and thoracotomy in the treatment of non-small cell lung cancer. Methods 160 patients with non-small cell lung cancer were randomly divided into thoracoscopic group and thoracotomy group, 80 cases in each group. Thoracotomy lobectomy was performed in the thoracotomy group; thoracoscopic lobectomy was performed in the thoracoscopic group. Thoracic drainage, intraoperative blood loss, operation time, postoperative pain NRS scores and postoperative complications were compared between the two groups. Results Thoracic drainage and intraoperative blood loss in the thoracoscopic group were less than those in the control group (P <0.05). There was no significant difference in the operative time between the thoracoscopic group and the thoracic group (P> 0.05) (P <0.05). The score of postoperative NRS score was lower in the thoracoscope group than in the thoracotomy group (P <0.05). The incidence of postoperative complications was lower in the thoracoscope group than in the thoracotomy group (P <0.05) . Conclusion The clinical effect of thoracoscopic lobectomy in patients with non-small cell lung cancer is better than thoracotomy.