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目的:分析探讨在VATS辅助下腋下纵切口行肺癌根治术的临床应用研究价值。方法:从本院中抽取2015年1月到2017年1月期间的实行肺癌根治术40例,然后将其随机分为治疗组和对照组,各20例,治疗组患者使用VATS辅助下腋下纵切口手术,而对照组的则使用常规后外侧切口开胸手术。两组患者在使用过完全不同的切口手术后,对两组的治疗疗效并进行对比分析。结果:所有患者术后胸腔引流量、术后平均住院天数、术后镇痛的时间等,并无统计学意义。但治疗组的手术时间、住院费用等都显著小于对照组,差异显著,具有统计学意义。结论:采用VATS辅助下腋下纵切口手术的治疗组明显比采用常规后外侧切口开胸手术的对照组疗效效果要好。VATS辅助下腋下纵切口行肺癌治术的创伤小较小,疼痛感也小,但术后恢复的更快,费用高点,但并无统计学意义。具有临床推广价值。
Objective: To investigate the value of clinical application of VATS-assisted radical axotomy in the treatment of lung cancer. Methods: Forty lung cancer patients who underwent radical mastectomy between January 2015 and January 2017 were selected from our hospital. Then they were randomly divided into treatment group and control group, 20 cases in each group. Patients in the treatment group under VATS Longitudinal incision surgery, while the control group was the use of conventional posterolateral thoracotomy. Two groups of patients in the use of a completely different incision surgery, the two groups of curative effect and comparative analysis. Results: There was no significant difference in postoperative thoracic drainage, postoperative average hospitalization days, postoperative analgesia time and so on. However, the operation time and hospitalization cost in the treatment group were significantly less than those in the control group, with significant differences, with statistical significance. CONCLUSIONS: VATS-assisted surgery in the subaxillary longitudinal incision was significantly more effective than the control group with conventional posterolateral thoracotomy. VATS assisted axillary longitudinal incision lung cancer surgery less trauma, pain is small, but postoperative recovery faster, costly, but not statistically significant. With clinical promotion value.