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目的探讨胸腔镜手术治疗肺癌的临床疗效。方法 80例早期肺癌患者按照手术方法的不同分为观察组和对照组,对照组(30例)采用传统开胸手术治疗,观察组(50例)采用胸腔镜手术治疗,比较两组的手术情况、疗效及术后并发症。结果两组术中清扫淋巴结的个数、手术时间差异无统计学意义(P>0.05)。观察组的术中出血量、术后引流时间、住院时间、疼痛评分及并发症均少于对照组,差异有统计学意义(P<0.05)。结论胸腔镜治疗肺癌创伤小,术后恢复快,并发症少,是一种有效且安全的手术治疗方法。
Objective To investigate the clinical effect of thoracoscopic surgery for lung cancer. Methods Eighty patients with early stage lung cancer were divided into observation group and control group according to different surgical methods. The control group (30 cases) was treated by conventional thoracotomy. The observation group (50 cases) was treated by thoracoscope. The operative conditions Efficacy and postoperative complications. Results There was no significant difference in the number of lymph nodes dissection between the two groups (P> 0.05). The observation group’s intraoperative blood loss, postoperative drainage time, hospital stay, pain score and complications were less than the control group, the difference was statistically significant (P <0.05). Conclusions Video-assisted thoracoscopic surgery is a safe and effective surgical treatment for lung cancer with less trauma, faster recovery after operation and less complications.