胸腔镜下肺癌根治术治疗老年非小细胞肺癌的效果及术后生存率相关影响因素(1)
[摘要]目的 探讨胸腔镜下肺癌根治术治疗老年非小细胞肺癌的效果及术后生存率相关影响因素。方法 回顾性分析2015年5月～2016年5月接受肺癌根治术治疗老年非小细胞肺癌患者103例，其中胸腔镜组54例，开胸组49例。比较两组患者引流管拔除天数、术后住院天数、术后并发症发生率以及术后3年生存率，分析影响胸腔组患者术后生存率的相关因素。结果 胸腔镜组患者术后并发症发生率低于开胸组，手术之后的恢复天数、拔除引流管天数短于开胸组，差异有统计学意义(P<0.05)。年龄≥65岁、淋巴结转移是影响胸腔镜组术后生存率的独立危险因素(P<0.05)。结论 胸腔镜手术治疗老年非小细胞肺癌患者创伤比较小，手术后恢复比较快，具有显著效果。
[关键词]胸腔镜;非小细胞肺癌;生存率;影响因素;开胸手术
[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721(2020)3(b)-0080-03
Effect of thoracoscopic radical resection of lung cancer in the treatment of elderly patients with non-small cell lung cancer and related factors of postoperative survival rate
FENG Yong
Department of Thoracic Surgery， Shenyang Tenth People′s Hospital， Liaoning Province， Shenyang 110044， China
[Abstract] Objective To investigate the effect of thoracoscopic radical resection of lung cancer in the treatment of elderly patients with non-small cell lung cancer and related factors of postoperative survival rate. Methods A total of 103 patients with non-small cell lung cancer who accepted radical resection of lung cancer from May 2015 to May 2016 were retrospective analysis， including 54 cases in thoracoscopic group and 49 cases in thoracotomy group. The drainage tube removal days， hospitalization days， incidence of complications and 3-year survival rate were compared between the two groups， and the related factors affecting the survival rate of thoracic patients were analyzed. Results The incidence of postoperative complications was lower than that in the thoractomy group， the number of days after surgery， and the number of days of drainage tube in the thoracoscopic group were shorter than those in the thoracotomy group (P<0.05). Age ≥65 years old and lymph node metastasis were independent risk factors affecting the survival rate of thoracoscopic surgery group (P<0.05). Conclusion The thoracoscopic surgery in the treatment of elderly patients with non-small cell lung cancer has less trauma， faster recovery after surgery， and has a significant effect.
[Key words] Thoracoscopy; Non-small cell lung cancer; Survival rate; Influencing factors; Thoracotomy
肺癌是一種恶性肿瘤，出现死亡的概率十分高，发病原因和生活环境、吸烟具有重要关系[1]。非小细胞癌主要是指除小细胞肺癌以外的所有肺上皮癌，据相关研究表明这占肺癌整体的80%以上[2]。非小细胞癌病情比较隐匿，对患者的生命健康产生严重威胁[3]。对于老年非小细胞肺癌患者而言，实施手术治疗是最佳的治疗手段，传统的开胸手术会导致大面积创面，老年患者的耐受能力比较差，不利于患者的康复。胸腔镜技术的不断发展，恢复时间比较快、耐受力比较高、创伤面积小。随着微创技术的发展，胸腔镜技术在肺癌的手术治疗中得到广泛应用。笔者分别采用胸腔镜手术与开胸手术两种治疗方法，对老年非小细胞肺癌患者进行治疗，对两组患者的生存率进行回顾性分析，探讨影响胸腔镜手术患者存活的相关因素，现报道如下。, http://www.100md.com(冯勇)
[关键词]胸腔镜;非小细胞肺癌;生存率;影响因素;开胸手术
[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721(2020)3(b)-0080-03
Effect of thoracoscopic radical resection of lung cancer in the treatment of elderly patients with non-small cell lung cancer and related factors of postoperative survival rate
FENG Yong
Department of Thoracic Surgery， Shenyang Tenth People′s Hospital， Liaoning Province， Shenyang 110044， China
[Abstract] Objective To investigate the effect of thoracoscopic radical resection of lung cancer in the treatment of elderly patients with non-small cell lung cancer and related factors of postoperative survival rate. Methods A total of 103 patients with non-small cell lung cancer who accepted radical resection of lung cancer from May 2015 to May 2016 were retrospective analysis， including 54 cases in thoracoscopic group and 49 cases in thoracotomy group. The drainage tube removal days， hospitalization days， incidence of complications and 3-year survival rate were compared between the two groups， and the related factors affecting the survival rate of thoracic patients were analyzed. Results The incidence of postoperative complications was lower than that in the thoractomy group， the number of days after surgery， and the number of days of drainage tube in the thoracoscopic group were shorter than those in the thoracotomy group (P<0.05). Age ≥65 years old and lymph node metastasis were independent risk factors affecting the survival rate of thoracoscopic surgery group (P<0.05). Conclusion The thoracoscopic surgery in the treatment of elderly patients with non-small cell lung cancer has less trauma， faster recovery after surgery， and has a significant effect.
[Key words] Thoracoscopy; Non-small cell lung cancer; Survival rate; Influencing factors; Thoracotomy
肺癌是一種恶性肿瘤，出现死亡的概率十分高，发病原因和生活环境、吸烟具有重要关系[1]。非小细胞癌主要是指除小细胞肺癌以外的所有肺上皮癌，据相关研究表明这占肺癌整体的80%以上[2]。非小细胞癌病情比较隐匿，对患者的生命健康产生严重威胁[3]。对于老年非小细胞肺癌患者而言，实施手术治疗是最佳的治疗手段，传统的开胸手术会导致大面积创面，老年患者的耐受能力比较差，不利于患者的康复。胸腔镜技术的不断发展，恢复时间比较快、耐受力比较高、创伤面积小。随着微创技术的发展，胸腔镜技术在肺癌的手术治疗中得到广泛应用。笔者分别采用胸腔镜手术与开胸手术两种治疗方法，对老年非小细胞肺癌患者进行治疗，对两组患者的生存率进行回顾性分析，探讨影响胸腔镜手术患者存活的相关因素，现报道如下。, http://www.100md.com(冯勇)
参见：首页 > 医疗版 > 疾病专题 > 呼吸内科 > 肺肿瘤 > 肺癌