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目的探讨电视胸腔镜辅助小切口肺癌手术的临床疗效、安全性及复发情况。方法选取2013年1月至2013年12月间接受手术治疗的86例肺癌患者,采用随机数字表法分为试验组和对照组,每组43例。试验组患者于电视胸腔镜下行小切口手术治疗,对照组患者行传统开胸手术治疗,所有患者均随访12个月。对比分析两组患者的疗效、安全性及复发情况。结果两组患者的淋巴扫除情况差异无统计学意义(P>0.05);试验组患者的术中出血量、切口长度、带管时间、术后住院天数和术后引流量与对照组比较,差异均有统计学意义(均P<0.05);86例患者随访时间均达12个月,无失访病例,但试验组患者术后并发症及复发的发生率均低于对照组,差异均有统计学意义(均P<0.05)。结论电视胸腔镜下行小切口肺癌手术的创伤较小、安全性较高,能够有效改善治疗效果,减少肿瘤复发率,值得在临床上推广使用。
Objective To investigate the clinical efficacy, safety and recurrence of video-assisted thoracoscopic surgery for small incision lung cancer. Methods Eighty-six patients with lung cancer undergoing surgery from January 2013 to December 2013 were randomly divided into experimental group and control group with 43 cases in each group. The patients in the experimental group underwent small incision surgery under the video-assisted thoracoscopy and the control group underwent traditional thoracotomy. All patients were followed up for 12 months. Comparative analysis of two groups of patients efficacy, safety and recurrence. Results There was no significant difference in lymphadenectasis between the two groups (P> 0.05). The blood loss, length of incision, length of laparotomy, length of stay in hospital and number of postoperative drainage in the test group were significantly lower than those in the control group (All P <0.05). The follow-up time of 86 patients reached 12 months without any loss of follow-up, but the postoperative complications and the recurrence rate in the experimental group were lower than those in the control group Statistical significance (all P <0.05). Conclusions Video-assisted thoracoscopic surgery for small incision lung cancer is less invasive and more safe, which can effectively improve the therapeutic effect and reduce the recurrence rate of the tumor, which is worth popularizing in clinic.