胸腔镜辅助小切口与开胸肺癌根治术的临床效果对比及护理

目的对比研究胸腔镜辅助下小切口与常规开胸肺癌根治术的临床效果，并探讨其相应的护理措施。方法将2006年6月-2009年7月我院收治的肺癌患者分为研究组和对照组。研究组予胸腔镜辅助下小切口肿瘤根治术（56例），对照组行常规开胸肺癌根治术（78例）。比较两组患者术前恐惧发生例数、手术时间、术后镇痛次数、术后下床活动时间、留置胸管时间、术后胸腔引流液总量、住院时间、住院费用及术后并发症等。结果研究组患者术后下床活动时间、留置胸管时间、术后胸引液总量、住院时间及术后镇痛时间等均显著优于对照组，术后并发症少于对照组。结论胸腔镜辅助下小切口肺癌根治术结合相应的护理措施在肺癌患者治疗中具有重要的临床意义。

Comparative study of video-assisted thoracopic surgery and thoracotomy in pneumonectomy and the nursing care

Objective To compare the clinical effects of video-assisted minithoracotomy and thoracotomy in pneumonectomy and to study their care methods. Methods The patients with lung cancer during June 2006 to July 2009 in our hospital were divided into 2 groups, the study group （n=56） and the control group （n = 78）. Patients in study group were accepted video-assisted thoracoscopic surgery, while patients in control group were given conventional thoracotomy. The number of fear patients before surgery, operative time, number of postoperative analgesia, postoperative ambulation time, time of indwelling chest tube, postoperative thoracic fluid volume, hospitalization time, hospitalization expenses and postoperative complications were compared in 2 groups. Results The study group was significantly superior to the control group in postoperative ambulation time, time of indwelling chest tube, postoperative thoracic fluid volume, hospitalization time and postoperative pain group. Conclusion Video-assisted thoracoscopic surgery combined with appropriate care is of great significance in patients with lung cancer.