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目的:研究胸腔镜下行肺癌根治术治疗肺癌的临床治疗体会。方法:将我院收治的80例肺癌患者临床资料进行分析。本组患者均行胸腔镜下肺癌根治术,采全身麻醉,与肋间6～7中线内置入胸腔镜,分离病变组织。行半肺叶切除术47例,双肺叶切除21例,全肺叶切除12例,术后配合有效护理。观察患者临床症状与治疗效果。结果:患者手术均顺利完成,无死亡病例。2例因病灶处粘连严重转开胸;5例行二次手术止血探查;术后少量漏气患者2例;1例发生胸腔积液,经术后引流痊愈;合并呼吸不全患者3例;手术时间40～180min,出血量15～55ml,住院5～20d。随访1a,所有参研患者无转移、复发。结论:胸腔镜下行肺癌根治术,并配合临床护士有效护理,效果显著,并发症少,患者恢复快,住院时间短,值得临床推广与研究。
Objective: To study the clinical effect of thoracoscopic surgery of lung cancer in the treatment of lung cancer. Methods: 80 cases of lung cancer patients admitted to our hospital for clinical data analysis. This group of patients underwent thoracoscopic lung cancer radical surgery, general anesthesia, and intercostal 6 ~ 7 midline into the thoracoscope, the separation of diseased tissue. Forty-seven patients underwent partial lobectomy, double lobe resection in 21 cases and total lobectomy in 12 cases, with effective nursing. Observe the clinical symptoms and treatment effect. Results: The patients were successfully completed surgery, no deaths. 2 cases of severe adhesions due to the thoracotomy; 5 cases of secondary surgery to stop bleeding; a small amount of patients with air leak in 2 cases; 1 case of pleural effusion, drainage after recovery; 3 patients with respiratory insufficiency; surgery Time 40 ~ 180min, bleeding 15 ~ 55ml, hospitalized 5 ~ 20d. Follow-up 1a, all participating patients without metastasis, recurrence. Conclusions: Video-assisted thoracoscopic radical resection of lung cancer combined with effective nursing of clinical nurses has obvious effect, few complications, fast recovery and short hospital stay. It is worthy of clinical promotion and research.