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胸腔镜治疗周围型非小细胞肺癌的临床分析
引用本文:方允治,张连江,刘军图,张德东,陈文山,丛波. 胸腔镜治疗周围型非小细胞肺癌的临床分析[J]. 腹腔镜外科杂志, 2010, 15(6): 442-443. DOI: 10.3969/j.issn.1009-6612.2010.06.015
作者姓名:方允治  张连江  刘军图  张德东  陈文山  丛波
作者单位:1. 章丘市埠村煤矿医院,山东,济南,250215
2. 山东大学第二医院
摘    要:目的:探讨胸腔镜行肺叶切除术治疗周围型非小细胞肺癌的意义。方法:2008年1月至2010年4月治疗周围型非小细胞肺癌患者89例,其中行全胸腔镜肺叶切除术31例,开胸手术58例,比较分析两组患者围手术期相关指标。结果:两组患者术后均无严重并发症发生,胸腔镜组与开胸组手术时间[(185±52)min vs.(103±36)min]、引流管放置时间[(3.5±0.9)d vs.(4.7±2.1)d]差异有统计学意义(P0.05),术中出血[(197±63)ml vs.(186±59)ml]差异无统计学意义(P0.05),血清前白蛋白值胸腔镜组[(238.7±40.7)mg/L]明显高于开胸组[(156.3±51.8)mg/L](P0.05)。结论:胸腔镜手术具有患者术后创伤小,带管时间短,急性期反应较低等优点,可作为周围型肺癌的首选治疗术式。

关 键 词:肺肿瘤  癌,非小细胞肺  肺切除术  胸腔镜检查

Clinical analysis of thoracoscopic treatment for peripheral non-small-cell lung carcinoma
FANG Yun-zhi,ZHANG Lian-jiang,LIU Jun-tu,et al.. Clinical analysis of thoracoscopic treatment for peripheral non-small-cell lung carcinoma[J]. Journal of Laparoscopic Surgery, 2010, 15(6): 442-443. DOI: 10.3969/j.issn.1009-6612.2010.06.015
Authors:FANG Yun-zhi  ZHANG Lian-jiang  LIU Jun-tu  et al.
Affiliation:FANG Yun-zhi,ZHANG Lian-jiang,LIU Jun-tu,et al.Dept.of Surgery,Hospital of Zhangqiu Bucun Coal Mine,Jinan 250215,China
Abstract:Objective:To investigate the significance of thoracoscopic pulmonary lobectomy in treatment of peripheral non-small-cell lung carcinoma.Methods:From Jan.2008 to Apr.2010,89 patients suffering from peripheral non-small-cell lung carcinoma underwent treatment of operation,among them 31 underwent totally thoracoscopic pulmonary lobectomy and 58 open lobectomy.Clinical and laboratory perioperative parameters of the two groups were compared and studied.Results:There were no severe complications in two groups.The...
Keywords:Lung neoplasms  Carcinoma  non-small-cell lung  Pneumonectomy  Thoracoscopy  
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