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目的观察全胸腔镜肺叶切除治疗早期肺癌的临床效果。方法选取早期肺癌患者65例,根据随机数字表法分为全胸腔镜组33例和开胸组32例,开胸组采取开胸肺叶切除治疗,全胸腔镜组采取全胸腔镜肺叶切除治疗,比较2组患者手术时间、淋巴结清扫数、术中出血量、术后置管引流时间、术后疼痛评分、住院时间和术后并发症发生率等指标。结果 2组患者术后并发症发生率、手术时间、淋巴结清扫数、术中出血量、住院天数比较,差异无统计学意义(P>0.05)。全胸腔镜组患者术后置管引流时间、术后疼痛评分均低于开胸组,差异有统计学意义(P<0.01)。结论采用全胸腔镜肺叶切除治疗早期肺癌可达到与开胸肺叶切除手术相似的根治效果和安全性,且能明显减轻患者痛苦,缩短术后置管引流时间,具有较高的临床应用价值。
Objective To observe the clinical effect of total thoracoscopic lobectomy in the treatment of early stage lung cancer. Methods Sixty-five patients with early-stage lung cancer were selected. According to the random number table, the patients were divided into thoracoscopic group (33 cases) and thoracotomy group (32 cases), thoracotomy group (thoracotomy) and thoracoscopic lobectomy The operation time, number of lymph node dissection, intraoperative blood loss, postoperative catheter drainage time, postoperative pain score, hospitalization time and the incidence of postoperative complications were compared between the two groups. Results The incidence of postoperative complications, operation time, number of lymph node dissection, intraoperative blood loss and hospitalization days in the two groups had no significant difference (P> 0.05). The total drainage time and postoperative pain score of patients in the thoracoscopic group were significantly lower than those in the thoracotomy group (P <0.01). Conclusions The use of thoracoscopic lobectomy in the treatment of early stage lung cancer can achieve the same curative effect and safety as thoracotomy and lobectomy. It can significantly reduce the pain and shorten the time of catheterization and drainage, which has a high clinical value.