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目的:针对非小细胞肺癌患者采用全胸腔镜手术治疗和开胸手术治疗的临床效果进行对比分析。方法:本次的研究对象为50例非小细胞肺癌患者,将其分为两组各25例,其中一组采用开胸手术治疗,该组为对照组,另一组行全胸腔镜治疗,该组为观察组,随后针对两组患者的治疗效果进行对比。结果:两组患者均未出现死亡和二次手术病例,但是观察组患者在术中出血量、术后下床活动时间及疼痛评分明显优于对照组(P<0.05)。同时两组患者在手术时间、术后引流量、术后住院天数以及淋巴结清扫数目的对比中差异无统计学意义(P>0.05)。结论:采用全胸腔镜手术治疗非小细胞肺癌患者的淋巴结清扫数可以取得传统开腹术的相同效果,并且该方法具有创伤小,痛苦轻,术后恢复快等优点,因此该方法值得广泛的推广和应用。
Objective: To compare the clinical effects of thoracoscopic surgery and thoracotomy for patients with non-small cell lung cancer. Methods: Fifty patients with non-small cell lung cancer were divided into two groups of 25 patients. One group was treated by thoracotomy, the other was control group. The other group was treated by thoracoscopic surgery. This group was an observation group, followed by a comparison of the therapeutic effect of the two groups of patients. Results: No cases of death or secondary surgery occurred in either group. However, the amount of bleeding during the operation, the time to bed ambulation and the pain score after operation in the observation group were significantly better than those in the control group (P <0.05). At the same time, there was no significant difference between the two groups in the time of operation, the amount of postoperative drainage, the number of postoperative hospital stay and the number of lymph node dissection (P> 0.05). Conclusion: Thoracoscopic surgery in patients with non-small cell lung cancer can achieve the same number of lymph node dissection laparotomy the traditional effect, and the method has the advantages of less trauma, less pain, postoperative recovery, so the method is worthy of extensive Promotion and application.