胸腔镜手术治疗早期肺癌的临床观察

目的 探讨胸腔镜手术对早期肺癌患者的临床治疗效果.方法 选取80例早期肺癌患者,随机均分为对照组和研究组,对照组采用常规开胸手术治疗,研究组采用胸腔镜手术治疗.对比分析2组患者的手术疗效、观察指标及术后并发症与不良反应情况.结果 研究组的临床治愈率(87.5%)高于对照组(67.5%),差异有统计学意义(χ2=7.13,P<0.05),且术后的引流置管时间、术后出血量及住院时间均少于对照组(P<0.05),术后并发症及不良反应的发生率低于对照组(7.5%vs 27.5%,χ2=9.52,P<0.05).结论 胸腔镜手术治疗早期肺癌安全有效,术后并发症与不良反应发生情况少,值得临床进一步推广与应用.

Clinical Observation of Thoracoscopic Surgery for Early Lung Cancer

Objective To investigate the clinical efficacy of thoracoscopic surgery for early lung cancer patients .Meth-ods 80 cases of early lung cancer were randomly divided into the control group and the study group ,the control group received conventional thoracotomy ,and the study group were treated with video-assisted thoracoscopic surgery ,the surgical efficacy ,obser-vation index and postoperative complications and adverse reactions of the 2 groups were compared .Results The clinical cure rate of the study group(87.5%)was higher than that of the control group (67.5%),there had significant difference (χ2 =7.13,P<0.05),and postoperative drainage time ,postoperative bleeding and hospitalization time of the study group were shorter than those of the control group(P<0.05),incidence of postoperative complications and adverse reactions were lower than that of the control group(7.5%<27.5%,χ2 =9.52,P<0.05).Conclusion Thoracoscopic surgery can safely and effectively treat early lung cancer,with less postoperative complications and adverse reactions ,it is worthy of clinical promotion and application .