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目的分析非小细胞肺癌胸腔镜根治术的临床治疗效果。方法将78例非小细胞肺癌患者根据手术方式的不同分为胸腔镜组(38例)和对照组(38例)。分别行全胸腔镜肺叶切除术、传统开胸肺叶切除术。评价两组患者的手术效果,主要包括手术时间、术中失血量、淋巴清扫情况、引流管放置时间、术后住院时间及术中、术后并发症发生情况。结果胸腔镜组、对照组手术时间、术中失血量、淋巴清扫情况比较无明显差异(P>0.05),但胸腔镜组引流管放置时间、术后住院时间均显著短于对照组(P<0.01)。胸腔镜组并发症发生率(7.89%)显著低于对照组(28.95%)(P<0.05)。结论与开胸根治术相比,胸腔镜根治术治疗非小细胞肺癌的临床效果确切,术后恢复更快,并发症发生风险更低。
Objective To analyze the clinical effect of thoracoscopic radical surgery for non-small cell lung cancer. Methods 78 cases of NSCLC patients were divided into thoracoscopic group (38 cases) and control group (38 cases) according to different surgical methods. Thoracoscopic lobectomy and conventional open-heart lobectomy were performed. The surgical outcomes of the two groups of patients were evaluated, including operative time, intraoperative blood loss, lymphatic dissection, drainage tube placement, postoperative hospital stay, and intraoperative and postoperative complications. Results There was no significant difference in operative time, intraoperative blood loss and lymphatic dissection between the thoracoscopic group and the control group (P>0.05). However, the drainage tube placement and postoperative hospital stay were significantly shorter in the thoracoscopic group than in the control group (P< 0.01). The incidence rate of thoracoscopic complications (7.89%) was significantly lower than that of the control group (28.95%) (P<0.05). Conclusions Compared with open-throplasty surgery, thoracoscopic surgery for the treatment of non-small cell lung cancer has a definite clinical effect, with faster postoperative recovery and a lower risk of complications.