| 全胸腔镜肺叶切除术与开放肺叶切除术治疗早期肺癌的对比研究 |
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| 引用本文： | 李斌,谭雪梅,袁宁. 全胸腔镜肺叶切除术与开放肺叶切除术治疗早期肺癌的对比研究[J]. 重庆医学, 2011, 40(18): 1804-1806. DOI: 10.3969/j.issn.1671-8348.2011.18.016 |
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| 作者姓名： | 李斌 谭雪梅 袁宁 |
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| 作者单位： | 重庆市第三人民医院体检中心,400014 |
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| 摘 要： | 目的探讨全胸腔镜肺叶切除术在早期肺癌治疗中的临床应用价值。方法选取本院行肺叶切除术治疗的早期非小细胞肺癌(NSCLC)患者64例,按其手术方式分为电视胸腔镜手术(VATS)组(n=32,行全胸腔镜肺叶切除术)及OT组(n=32,行传统开胸肺叶切除术)。比较两组患者淋巴结清扫组数、手术持续时间、术中出血量、术后置管引流时间、术后住院时间、术后并发症发生率、术后疼痛评分及血清C反应蛋白(CRP)的差异。结果两组患者的淋巴结清扫组数、手术持续时间、术中出血量、术后住院时间及术后并发症发生率比较,差异均无统计学意义(P>0.05)。VATS组术后置管引流时间明显少于OT组(P<0.05)。术后第1、3天OT组疼痛评分明显高于VATS组(P<0.05)。两组患者术后第1、5天血清CRP均较术前明显升高(P<0.05),VATS组于术后第1、5天时间点的血清CRP水平均明显低于同时间点OT组(P<0.05)。结论全胸腔镜肺叶切除术安全、可靠,具有术后恢复快的优点,可作为早期肺癌患者的推荐治疗方法。
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| 关 键 词： | 胸腔镜 肺切除术 肺肿瘤 疼痛,手术后 C反应蛋白 |
A comparative study of complete video-assisted thoracoscopic pneumonectomy and open pneumonectomy in treatment of lung cancer at early stage |
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| Li Bin,Tan Xuemei,Yuan Ning. A comparative study of complete video-assisted thoracoscopic pneumonectomy and open pneumonectomy in treatment of lung cancer at early stage[J]. Chongqing Medical Journal, 2011, 40(18): 1804-1806. DOI: 10.3969/j.issn.1671-8348.2011.18.016 |
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| Authors: | Li Bin Tan Xuemei Yuan Ning |
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| Affiliation: | Li Bin,Tan Xuemei,Yuan Ning(Physical Examination Center,Third People's Hospital of Chongqing,Chongqing 400014,China) |
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| Abstract: | Objective To explore the clinical application value of complete video-assisted thoracoscopic pneumonectomy in treatment of lung cancer at early stage.Methods 64 patients with early stage non-small cell lung cancer(NSCLC) accepted pneumonectomy were collected.According to surgical approach,they were divided into VAST group(n=32,undergone complete video-assisted thoracoscopic pneumonectomy) and OT group(n=32,undergone traditional open pneumonectomy).Differences of numbers of lymph nodes removal,operation dura... |
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| Keywords: | thoracoscopes pneumonectomy lung neoplams pain postoperative C-reactive protein |
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