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目的探讨胸腔镜下肺癌根治术治疗老年非小细胞肺癌的临床疗效。方法选择2012年4月至2015年1月收治的74例老年非小细胞肺癌患者的临床资料,随机分为实验组和对照组各37例,实验组患者应用胸腔镜治疗,对照组患者实施开胸手术治疗,观察比较两组患者的临床疗效、清扫淋巴结数、住院时间、术后拔管时间、手术时间及术中出血量等指标。结果两组患者均手术顺利,无围术期死亡,未出现呼吸功能衰竭等严重并发症。实验组与对照组患者清扫淋巴结数、手术时间差异无统计学意义(P>0.05),实验组患者住院时间为(7.85±2.04)d、术后拔管时间为(3.16±0.64)d及术中出血量为(169.55±13.09)ml,同对照组比较均明显下降,差异具有统计学意义(P<0.05)。结论老年非小细胞肺癌患者采取胸腔镜下肺癌根治术治疗可缩短患者住院时间和术后拔管时间,促进伤口愈合,降低术中出血量,具有创伤小、安全性高等特点,临床值得推广应用。
Objective To investigate the clinical effect of thoracoscopic radical resection of lung cancer in the treatment of elderly non-small cell lung cancer. Methods The clinical data of 74 elderly patients with non-small cell lung cancer who were admitted from April 2012 to January 2015 were randomly divided into experimental group and control group, 37 cases in each group. The patients in the experimental group were treated by thoracoscope and the control group Thoracic surgery was performed. The clinical efficacy, number of lymph nodes dissected, length of hospital stay, extubation time, operative time and intraoperative blood loss were compared between the two groups. Results The two groups of patients were operated smoothly without perioperative death and no serious complications such as respiratory failure occurred. There were no significant differences in the number of lymph nodes dissected between the experimental group and the control group (P> 0.05), the length of hospital stay in the experimental group was (7.85 ± 2.04) d, the duration of extubation was (3.16 ± 0.64) d and The bleeding volume was (169.55 ± 13.09) ml, which was significantly lower than that of the control group, the difference was statistically significant (P <0.05). Conclusion The treatment of elderly patients with non-small cell lung cancer by thoracoscopic lung cancer radical surgery can shorten the hospital stay and postoperative extubation time, promote wound healing, reduce intraoperative bleeding, with less trauma, higher safety, clinical application worthy of promotion .