不同微创手术方案在肺癌患者中的应用效果对比

目的：比较全胸腔镜下肺叶切除与小切口开胸手术在肺癌微创外科治疗中的临床应用效果，为其临床治疗提供参考。方法收集该院诊断非小细胞肺癌行肺叶切除手术治疗的患者136例，分为胸腔镜组与开胸组，每组68例。胸腔镜组患者给予全胸腔镜下肺叶切除治疗，开胸组患者给予小切口开胸手术治疗。对两组患者的临床疗效及不良反应进行比较。结果胸腔镜组患者的手术失血量、手术时间、胸腔引流量、引流时间及住院时间均明显低于开胸组（P＜0．05）。两组间淋巴结清扫数与淋巴结转移清扫数比较，差异无统计学意义（P＞0．05）。与开胸组患者相比，胸腔镜组出现肺部感染、肺不张、心律失常、应激性溃疡等并发症的发生率比较低，但差异无统计学意义（P＞0．05）。胸腔镜组术后2 h疼痛评分低于开胸组（P＜0．05）。结论全胸腔镜下肺叶切除与小切口开胸手术均可有效治疗非小细胞肺癌，但全胸腔镜下肺叶切除创伤更小、出血更少、手术时间更短，值得临床推广应用。

A comparative study of complete video-assisted thoracoscopic lobectomy and video-assisted minithoracotomy in treatment of lung cancer

Objective To explore the clinical application value of complete video‐assisted thoracoscopic lobectomy in the mini‐in‐vasive treatment of lung cancer .Methods 136 patients with minimal mediastinal lymph nodes metastasis lung cancer disease unex‐pectedly detected during the operation were included .All patients were divided into observation group and control group .Patients in observation group were given thoracoscopy treatment .Patients in control group were given mini‐invasive treatment .The blood loss , operative time ,flow rate ,length of hospital stay were observed .Results The blood loss ,operating time ,chest flow and drainage time and hospital stay in observation group were lower than that in control group (P<0 .05) .The differences of lymph node clean‐ing and lymph node metastasis between the two groups were not statistical significance (P>0 .05) .The incidence of lung infection , atelectasis ,arrhythmia ,stress ulcer in observation group was lower than that in control group ,but the difference was not statistical‐ly significant (P>0 .05) .The pain score postoperative 2 h in observation group was lower than that in control group .The differ‐ences were statistically significant (P<0 .05) .Conclusion The treatment of thoracoscopy is feasible and safe ,which has shorter operation time ,less complications ,and can effectively prolong patient survival time ,thus it is worthy of further promotion .