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目的:探讨电视胸腔镜手术(VATS)肺叶切除治疗早期肺癌的临床方法疗效。方法:选取2011年1月至2016年8月收治的120例肺癌患者,分别采用VATS手术与传统手术进行治疗,对两组患者治疗效果比较分析。结果:两组患者均顺利完成手术,均无死亡及术后重在并发症发生。全胸腔镜组术后引流时间、术后疼痛评分、住院时间与传统手术组比较,差异具有统计学意义(P<0.05)。两组患者手术时间和并发症发生率比较,差异无统计学意义(P>0.05)。结论:胸腔镜下肺叶切除术与传统开胸手术相比,用相同的淋巴结清扫范围,创伤小,出血量少,术后恢复快,减少术后疼痛及围手术期并发症的发生。
Objective: To investigate the efficacy of VATS lobectomy in the treatment of early stage lung cancer. Methods: From January 2011 to August 2016, 120 patients with lung cancer were selected and were treated with VATS and conventional surgery respectively. The therapeutic effects of the two groups were compared. Results: The two groups of patients were successfully completed the operation, no death and postoperative complications. The total drainage time, postoperative pain score and length of stay in the thoracoscopic group were significantly different from those in the conventional surgery group (P <0.05). There was no significant difference between the two groups in the operation time and complication rate (P> 0.05). Conclusions: Compared with conventional thoracoscopic lobectomy, thoracoscopic lobectomy has the advantages of less trauma, less bleeding, quick recovery after operation, less postoperative pain and perioperative complications with the same range of lymph node dissection.