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目的探讨全胸腔镜下肺叶切除术治疗非小细胞肺癌的临床疗效。方法选取2009年2月-2010年5月来医院治疗的48例非小细胞肺癌患者,随机分成实验组和对照组,每组24例,观察两组患者手术时间、术中出血量、住院时间、术后并发症的发生情况及术后患者疼痛情况,同时对患者进行随访。结果对照组手术时间短,术后并发症较多,实验组患者术中出血量少、术后住院时间短,两组比较差异有统计学意义(P<0.05);对照组术后第5 d疼痛评分显著高于实验组,两组比较差异有统计学意义(P<0.05)。结论全胸腔镜下肺叶切除术治疗非小细胞肺癌疗效显著,术中出血量少、并发症少,安全、有效,可作为非小细胞肺癌的推荐治疗方法。
Objective To investigate the clinical effect of total thoracoscopic lobectomy in the treatment of non-small cell lung cancer. Methods Forty-eight patients with non-small cell lung cancer who were hospitalized from February 2009 to May 2010 were randomly divided into experimental group and control group, with 24 cases in each group. The operation time, intraoperative blood loss, hospital stay , Postoperative complications and postoperative patients with pain, at the same time, patients were followed up. Results The control group had shorter operation time and more postoperative complications. The patients in the experimental group had less intraoperative blood loss and shorter postoperative hospital stay. The difference between the two groups was statistically significant (P <0.05) Pain score was significantly higher than the experimental group, the difference was statistically significant (P <0.05). Conclusions Thoracoscopic lobectomy for non-small cell lung cancer has significant curative effect, less intraoperative blood loss, fewer complications, safe and effective, and can be used as the recommended treatment for non-small cell lung cancer.