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目的探讨胸腔镜与开胸手术治疗早期非小细胞肺癌的临床疗效。方法在医院2013年7月到2016年11月期间诊治的早期非小细胞肺癌患者中抽取68例作研究对象,以随机抽签方式分组,治疗组(n=34)应用胸腔镜手术治疗,对照组(n=34)应用开胸手术治疗,对比两组患者的并发症发生率以及手术指标。结果 (1)治疗组患者的并发症发生率是8.82%,低于对照组患者的29.41%(P<0.05);(2)治疗组患者的手术时间、术中出血量、术后VAS疼痛评分均优于对照组(均P<0.01)。结论与开胸手术相比,胸腔镜手术治疗早期非小细胞肺癌的临床疗效确切,并发症少,且术中出血量、手术时间、术后疼痛程度等均优势明显,可推广。
Objective To investigate the clinical effect of thoracoscope and thoracotomy in the treatment of early non-small cell lung cancer. Methods Seventy-six patients with early-stage non-small cell lung cancer (NSCLC) diagnosed and treated from July 2013 to November 2016 in our hospital were randomly divided into two groups. The treatment group (n = 34) was treated by thoracoscope and the control group (n = 34) were treated with thoracotomy. The complication rates and operative indicators were compared between the two groups. Results (1) The incidence of complications in the treatment group was 8.82%, which was lower than that in the control group (29.41%, P <0.05). (2) The operation time, intraoperative blood loss, postoperative VAS pain score All better than the control group (all P <0.01). Conclusions Compared with thoracotomy, thoracoscopic surgery for early non-small cell lung cancer has definite curative effect and less complications. The blood loss, operation time and degree of postoperative pain are obvious and can be promoted.