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目的探讨电视胸腔镜辅助下行小切口肺癌切除术的治疗效果。方法 92例肺癌患者采用电视胸腔镜治疗的46例为胸腔镜组,采用传统开胸手术治疗的46例为开胸手术组,比较2组患者手术时间、术中出血量、术后置管时间、术后恢复时间、淋巴结清扫个数和清扫时间及并发症发生率。结果胸腔镜组手术时间((76.9±14.2)min)、术中出血量((168.4±41.8)mL)、术后置管时间((4.4±1.3)d)、术后恢复时间((8.7±1.9)d)及并发症发生率(4.35%)均小于开胸手术组((99.2±22.6)min、(224.7±62.3)mL、(6.7±1.8)d、(12.4±2.6)d及17.39%),差异均有统计学意义(P>0.05);淋巴结清扫时间((34.2±4.8)min)长于开胸手术组((22.7±3.3)min)(P<0.05);2组间淋巴结清扫个数比较差异无统计学意义(P>0.05)。结论电视胸腔镜辅助下行小切口肺癌切除术疗效确切,且创伤小,术后恢复快。
Objective To discuss the therapeutic effect of video-assisted thoracoscopic assisted small incision lung cancer resection. Methods Forty-six patients with lung cancer underwent video-assisted thoracoscopic surgery for 46 patients undergoing thoracoscopic surgery. Thirty-six patients undergoing thoracotomy were treated by thoracotomy. The operative time, intraoperative blood loss, postoperative catheterization time , Postoperative recovery time, the number of lymph node dissection and the time of cleaning and the incidence of complications. Results The operative time (76.9 ± 14.2) min, intraoperative blood loss (168.4 ± 41.8) mL, postoperative catheterization time (4.4 ± 1.3) days, postoperative recovery time (8.7 ± 1.9 ± d) and complication rate (4.35%) were significantly lower than those in the thoracotomy group (99.2 ± 22.6 min, 224.7 ± 62.3 mL, 6.7 ± 1.8 d, 12.4 ± 2.6 d and 17.39% ) (P <0.05). The duration of lymph node dissection (34.2 ± 4.8) min was longer than that of thoracotomy group (22.7 ± 3.3) min (P <0.05) The difference was not statistically significant (P> 0.05). Conclusion Video-assisted thoracoscopic assisted small incision lung resection is effective and has less trauma and faster recovery after operation.