电视辅助胸腔镜行肺叶切除治疗非小细胞肺癌的临床疗效分析(1)
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[摘要] 目的 分析电视辅助胸腔镜行肺叶切除术治疗各期非小细胞肺癌的临床疗效，为该术式的临床应用提供参考依据。 方法 将行肺叶切除术的非小细胞肺癌患者117例按病理分期分为两组，Ⅰ期组56例，Ⅱ期组61例，比较两组肺癌患者的术后并发症、复发率及术后3年随访率等情况。 结果 Ⅰ期组患者的术后并发症发生率为5.4%，Ⅱ期组患者的术后并发症发生率为18.0%，两组差异有统计学意义(P < 0.05)。Ⅰ期组患者的3年生存率为98.2%，Ⅱ期组患者的3年生存率为86.9%，两组差异有统计学意义(P < 0.05)。 结论 电视辅助胸腔镜下行肺叶切除对Ⅰ期非小细胞肺癌患者疗效较好。
[关键词] 电视胸腔镜；非小细胞肺癌；肺叶切除术；微创外科
[中图分类号] R734.2 [文献标识码] B [文章编号] 1673—9701(2012)27—0152—02
Clinical efficacy analysis of video—assisted thoracoscopic surgery for non—small cell lung cancer
MAO Jianlin ZHENG Zhe MAO Weihua
Department of Heart and Chest Surgery，the Taizhou City Central Hospital in Zhejiang Province，Taizhou 318000，China
[Abstract] Objective To explore the curative efficacy of video—assisted thoracoscopic surgery (VATS) in the treatment of each stage of non—small cell lung cancer and to provide reference for clinical application of this operation. Methods A total of 117 cases of non—small cell lung patient undergoing VATS lobectomy were divided into two groups on the basis of pathological stage，56 cases inⅠstage group and 61 cases in Ⅱ stage group. The clinical results such as postoperative complications，recurrence rate and postoperative 3—year follow—up rate were compared. Results The incidence of complications of Ⅰstage group and Ⅱ stage group was 5.4% and 18.0% respectively，the difference had statistical significance(P < 0.05). The 3—year survival rate of Ⅰstage group and Ⅱ stage group was 98.2% and 86.9% respectively，the difference had statistical significance(P < 0.05). Conclusion VATS lobectomy has better effect for theⅠstage non—cell lung cancer.
[Key words] Video—assisted thoracoscopic surgery；Non—small cell lung cancer；Lobectomy；Minimally ivasion surgery ......
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