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目的比较胸腔镜手术与传统开胸手术治疗肺癌的临床疗效。方法选取2013年2月—2014年1月泸州市中医医院收治的肺癌患者80例,按自愿原则将患者分为观察组与对照组,各40例。对照组患者予以传统开胸手术治疗,观察组患者予以胸腔镜手术治疗。观察两组患者手术情况(手术时间、术中出血量、术后拔管时间、住院时间)、术后疼痛分级(无痛、轻度疼痛、中度疼痛、重度疼痛)及并发症发生情况。结果观察组患者手术时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05),两组患者术后拔管时间比较,差异无统计学意义(P>0.05);观察组患者疼痛分级优于对照组(P<0.05);观察组患者并发症发生率为7.3%,低于对照组的25.0%(P<0.05)。结论胸腔镜手术是临床治疗肺癌的有效手段,可缩短手术时间及住院时间,减少术中出血量及减轻术后疼痛,手术切口小,患者恢复较快。
Objective To compare the clinical effects of thoracoscopic surgery with conventional thoracotomy for lung cancer. Methods 80 patients with lung cancer admitted from Luzhou Hospital of Traditional Chinese Medicine between February 2013 and January 2014 were enrolled. Patients were divided into observation group and control group on the voluntary principle, 40 cases in each group. Patients in the control group were treated by conventional thoracotomy, while those in the observation group were treated by thoracoscope surgery. The operation conditions (operation time, intraoperative blood loss, postoperative extubation time, hospital stay), postoperative pain grade (painless, mild pain, moderate pain, severe pain) and complications were observed. Results The operation time and hospital stay in the observation group were shorter than those in the control group, and the amount of bleeding during operation was less than that of the control group (P <0.05). There was no significant difference between the two groups in the time of extubation P> 0.05). The pain score of the observation group was better than that of the control group (P <0.05). The incidence of complications in the observation group was 7.3%, which was lower than that in the control group (25.0%, P <0.05). Conclusions Thoracoscopic surgery is an effective method for clinical treatment of lung cancer, which can shorten the operation time and hospitalization time, reduce the intraoperative blood loss and relieve the postoperative pain. The operative incision is small and the patients recover quickly.