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目的比较胸腔镜与开胸手术治疗早期非小细胞肺癌的疗效。方法 80例早期非小细胞肺癌患者,随机分为观察组和对照组,各40例。对照组行开胸手术治疗,观察组行胸腔镜手术治疗。对比两组疗效。结果观察组手术时间(95.2±15.9)min、术中失血量(155.8±10.4)ml优于对照组(115.7±21.4)min、(274.6±25.6)ml,差异有统计学意义(P<0.05)。观察组引流管留置时间、镇痛时间、住院时间(2.1±1.3)、(1.8±2.2)、(7.3±2.6)d均短于对照组(4.9±1.5)、(4.4±2.7)、(15.9±4.3)d,差异有统计学意义(P<0.05)。结论在早期非小细胞肺癌患者的临床治疗中,胸腔镜手术以其创伤小、康复快的优势值得在临床实践中予以借鉴。
Objective To compare the efficacy of thoracoscopy and thoracotomy in the treatment of early non-small cell lung cancer. Methods Eighty patients with early stage non-small cell lung cancer were randomly divided into observation group and control group, 40 cases in each group. The control group underwent thoracotomy and the observation group underwent thoracoscopic surgery. Compare two groups curative effect. Results The operation time (95.2 ± 15.9) min and the intraoperative blood loss (155.8 ± 10.4) ml in the observation group were significantly higher than those in the control group (115.7 ± 21.4) min and (274.6 ± 25.6) ml respectively (P <0.05) . The retention time, analgesia time and length of hospital stay in the observation group (2.1 ± 1.3), (1.8 ± 2.2) and (7.3 ± 2.6) days were significantly shorter than those in the control group (4.9 ± 1.5), (4.4 ± 2.7) and (15.9 ± 4.3) d, the difference was statistically significant (P <0.05). Conclusion In the early clinical treatment of patients with non-small cell lung cancer, thoracoscopic surgery with its less trauma, the advantages of fast recovery worth in clinical practice to learn from.