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目的分析全胸腔镜肺叶切除术与开放肺叶切除术治疗早期肺癌的临床效果。方法采用随机数字表法将103例早期肺癌患者进行分组,对照组51例给予全胸腔镜肺叶切除术治疗,观察组52例给予开放肺叶切除术治疗。观察并比较两组患者治疗后的临床疗效。结果观察组总有效率(78.85%)高于对照组(58.82%,P<0.05);观察组切口长度、术中出血量、术后镇痛时间、住院时间均低于对照组(P<0.05);观察组手术时间低于对照组(P>0.05)。结论采用全胸腔镜肺叶切除术治疗早期肺癌效果确切,对患者的损伤较小,术中出血量较少,患者术后疼痛轻,恢复快,缩短了患者的住院时间,值得临床推广及应用。
Objective To analyze the clinical effect of total thoracoscopic lobectomy and open lobectomy in the treatment of early stage lung cancer. Methods A total of 103 patients with early stage lung cancer were divided into two groups according to the random number table. Thirty-one patients in the control group underwent thoracoscopic lobectomy, and 52 underwent open lobectomy in the observation group. Observed and compared the clinical efficacy of the two groups after treatment. Results The total effective rate (78.85%) in the observation group was significantly higher than that in the control group (58.82%, P <0.05). The incision length, intraoperative blood loss, postoperative analgesia and hospital stay in the observation group were lower than those in the control group ). The operation time in the observation group was lower than that in the control group (P> 0.05). Conclusions Full thoracoscopic lobectomy for early lung cancer has definite effect, less damage to patients and less blood loss during operation. The postoperative pain and recovery rate are quick and the hospitalization time is shortened, which is worthy of clinical promotion and application.