电视胸腔镜辅助小切口肺叶切除术对肺癌患者预后的影响(1)
摘要：目的：探究电视胸腔镜辅助小切口肺叶切除术对肺癌患者预后的影响。方法：选取我院2013年3月至2015年3月间收治的80例肺癌患者随机分为两组；VATS组采用电视胸腔镜(VATS)辅助小切口肺叶切除术；对照组采用传统开胸手术治疗，并观察比较两组患者手术时间、手术中出血量、手术后置管时间和恢复时间、淋巴结清扫的数量以及并发症发生机率。结果：VATS辅助组手术中出血量、手术后置管时间、手术后恢复时间及住院时间均小于对照组(P<0.05)。淋巴结清扫时间长于对照组(P<0.05)。两组淋巴结清扫个数以及手术时间比较差异无统计学意义(P>0.05)；同时两组患者术后并发症发生率和复发率比较差异没有统计学意义(P>0.05)。结论：VATS辅助小切口肺叶切除术对肺癌患者创伤较小、恢复快、安全性和可行性高，值得在临床上推广应用。
关键词：电视胸腔镜；肺叶切除；肺癌；开胸手术；影响
Abstract：Objective： To discuss the effect of application of Video-assisted thoracoscope assisted small incision lung resectiontreatment of Lung cancer.Method：80 cases of Lung cancer treated in our hospital from March 2013 to March 2015 were randomly divided into observation group and control group；the observation group was given the Video-assisted thoracoscope (VATS)，while the control group was given Traditional open chest surgery；operation time， bleeding during the surgery，Catheter time and Recovery time after surgery，The number of cleaned lymph node and the rate of complications were observed and compared.Results：Bleeding during the surgery，Catheter time after surgery，Recovery time after surgery and hospital stays of the VATS group were less than those of the control group(P<0.05). The time of lymph node cleaning was longer than the control group(P<0.05).The differences of the number of cleaned lymph node and operation time between the two groups were not statistically significant (P>0.05). The differences of the rate of complications and recurrence after surgery were not statistically significant (P>0.05).Conclusion： Application of VATS assisted small incision lung resectiontreatment of Lung cancer has the advantages：Less invasive、recovery more quickly，higher feasibility and security.It is worthy of popularization.
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Keywords：VATS；lung resection；Lung cancer；open chest surgery；effect
据有关调查研究[1]，近年来男性肺癌发病率和死亡率在所有恶性肿瘤中均占据第一位。女性的发病率和死亡率均占第二位。肺癌成为死亡率和发病率增长最快，对人类健康和生命造成最大威胁的恶性肿瘤之一。目前临床治疗肺癌常用的方式为开胸手术，此种手术方式虽然有一定的效果，但是创伤大，术后恢复慢[2]。随着临床医学的发展，电视胸腔镜手术(VATS)的广泛应用，VATS辅助小切口肺叶切除以创伤较小、出血量少、术后疼痛轻、恢复快、肺功能损失少、住院时间短、疗效更确切等优点，目前已经成为胸外科医师以及肺癌患者手术的最佳选择[3]。下面本文就针对VATS肺叶切除术对肺癌患者预后的影响进行调查研究，现将研究结果报告如下：
1. 资料与方法
1.1一般资料：
选取我院2013年3月至2015年3月间收治的80例肺癌患者作为研究对象，所有患者均经过病理学诊断以及CT、MRI和全身骨扫描、超声检查确诊，同时排除脏器转移患者。将本组80例患者随机分为VATS辅助小切口肺叶切除术治疗组和传统开胸组(各40例)，其中VATS辅助小切口肺叶切除术40例患者，男24例，女16例，年龄(36～68)岁，平均(54.26±8.32)岁；病程(3～12)个月，平均(4.2±1.9)个月；传统开胸组40例患者，男26例，女14例，年龄(35～69)岁，平均(54.51±8.24)岁；病程(2～11)个月，平均(4.5±1.7)个月。两组比较性别、年龄、肺癌类型、病程以及手术部位差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(李民杰)
关键词：电视胸腔镜；肺叶切除；肺癌；开胸手术；影响
Abstract：Objective： To discuss the effect of application of Video-assisted thoracoscope assisted small incision lung resectiontreatment of Lung cancer.Method：80 cases of Lung cancer treated in our hospital from March 2013 to March 2015 were randomly divided into observation group and control group；the observation group was given the Video-assisted thoracoscope (VATS)，while the control group was given Traditional open chest surgery；operation time， bleeding during the surgery，Catheter time and Recovery time after surgery，The number of cleaned lymph node and the rate of complications were observed and compared.Results：Bleeding during the surgery，Catheter time after surgery，Recovery time after surgery and hospital stays of the VATS group were less than those of the control group(P<0.05). The time of lymph node cleaning was longer than the control group(P<0.05).The differences of the number of cleaned lymph node and operation time between the two groups were not statistically significant (P>0.05). The differences of the rate of complications and recurrence after surgery were not statistically significant (P>0.05).Conclusion： Application of VATS assisted small incision lung resectiontreatment of Lung cancer has the advantages：Less invasive、recovery more quickly，higher feasibility and security.It is worthy of popularization.
, http://www.100md.com
Keywords：VATS；lung resection；Lung cancer；open chest surgery；effect
据有关调查研究[1]，近年来男性肺癌发病率和死亡率在所有恶性肿瘤中均占据第一位。女性的发病率和死亡率均占第二位。肺癌成为死亡率和发病率增长最快，对人类健康和生命造成最大威胁的恶性肿瘤之一。目前临床治疗肺癌常用的方式为开胸手术，此种手术方式虽然有一定的效果，但是创伤大，术后恢复慢[2]。随着临床医学的发展，电视胸腔镜手术(VATS)的广泛应用，VATS辅助小切口肺叶切除以创伤较小、出血量少、术后疼痛轻、恢复快、肺功能损失少、住院时间短、疗效更确切等优点，目前已经成为胸外科医师以及肺癌患者手术的最佳选择[3]。下面本文就针对VATS肺叶切除术对肺癌患者预后的影响进行调查研究，现将研究结果报告如下：
1. 资料与方法
1.1一般资料：
选取我院2013年3月至2015年3月间收治的80例肺癌患者作为研究对象，所有患者均经过病理学诊断以及CT、MRI和全身骨扫描、超声检查确诊，同时排除脏器转移患者。将本组80例患者随机分为VATS辅助小切口肺叶切除术治疗组和传统开胸组(各40例)，其中VATS辅助小切口肺叶切除术40例患者，男24例，女16例，年龄(36～68)岁，平均(54.26±8.32)岁；病程(3～12)个月，平均(4.2±1.9)个月；传统开胸组40例患者，男26例，女14例，年龄(35～69)岁，平均(54.51±8.24)岁；病程(2～11)个月，平均(4.5±1.7)个月。两组比较性别、年龄、肺癌类型、病程以及手术部位差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(李民杰)