| 何勇,唐亚川,蔡聪,等.胸腔镜下肺叶与肺段切除术治疗早期非小细胞肺癌的效果[J].中国临床保健杂志,2021,24(5):698-701. |
| 胸腔镜下肺叶与肺段切除术治疗早期非小细胞肺癌的效果 |
| Effect of thoracoscopic lobectomy and segmentectomy in the treatment of early non-small cell lung cancer |
| 投稿时间：2021-05-17 |
| DOI：10.3969/J.issn.1672-6790.2021.05.027 |
| 中文关键词: 癌,非小细胞肺 胸腔镜检查 肺切除术 手术后并发症 治疗结果 生活质量 |
| 英文关键词: Carcinoma,non-small-cell lung Thoracoscopy Pneumonectomy Postoperative complications Treatment outcome Quality of life |
| 基金项目:四川省科技厅公益性科研院所基础科研项目(16-4-465) |
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| 中文摘要: |
| 目的 探讨胸腔镜下肺叶与肺段切除术治疗早期非小细胞肺癌的效果。方法 回顾性分析2018年11月至2019年11月四川省第二中医医院收治的60例早期非小细胞肺癌患者病历资料,按照随机数字表法分为观察组与对照组各30例。对照组采用传统的开胸肺叶与肺段切除术治疗,观察组则采用胸腔镜下的肺叶与肺段切除术。对两组手术相关指标、术后肺功能指标、临床疗效、术后并发症进行对比。结果 两组手术时间、胸腔引流量差异无统计学意义(P>0.05),观察组患者出血量以及住院时间明显低于对照组(P<0.05)；观察组用力肺活量(FVC),第一秒末用力肺活量(FEV1)和肺一氧化碳弥散量(DLCO)明显高于对照组(P<0.05)；观察组并发症发生率低于对照组,但差异无统计学意义(P＞0.05)；观察组整体的治疗效果明显优于对照组(P<0.05)。结论 对早期非小细胞肺癌患者,应用胸腔镜下的肺叶与肺段切除术疗效显著,对于缩短患者住院时间、降低术中出血量、降低术后并发症的发生率具有积极意义。 |
| 英文摘要: |
| Objective To investigate the effect of thoracoscopic lobectomy and segmentectomy in the treatment of early non-small cell lung cancer.Methods Sixty patients with early non-small cell lung cancer in our hospital from November 2018 to November 2019 were selected as the research objects.According to the digital table method,60 patients were randomly divided into observation group and control group.The control group was treated with traditional thoracotomy lobectomy and segmentectomy,while the observation group was treated with thoracoscopic lobectomy and segmentectomy.The operation related indexes,postoperative pulmonary function indexes,clinical efficacy and postoperative complications of the two groups were compared.Results There was no significant difference in operation time and thoracic drainage volume between the two groups (P>0.05),but the bleeding volume and hospitalization time in the observation group were significantly lower than those in the control group (P<0.05);the forced vital capacity (FVC),forced breathing at the end of the first second (FEV1) and diffusion capacity of carbon monoxide in the observation group were significantly lower than those in the control group (P<0.05) The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05);the overall therapeutic effect of the observation group was significantly better than that of the control group (P<0.05).Conclusion For patients with early non-small cell lung cancer,the application of thoracoscopic lobectomy and segmentectomy has a significant effect,which can shorten the hospitalization time,reduce the amount of bleeding and the incidences of postoperative complications. |
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