电视胸腔镜微创手术用于肺癌治疗中的临床效果(1)
摘要：目的 分析肺癌患者的治疗中应用电视胸腔镜微创手术的临床效果。方法 随机选择2013年8月～2015年8月在本院接受治疗的肺癌患者50例参与研究，随机平均分成2组，对照组应用常规开胸手术进行治疗，选择传统后外侧切口根治性肺癌切除、淋巴结清扫，观察组选择电视胸腔镜微创手术进行治疗，对患者实施肺癌切除、淋巴结清扫，比较两组手术时间、术中出血量、术后胸腔引流量以及淋巴结清除数量等疗效指标情况。结果 观察组手术时间长于对照组，术中出血量、住院时间、术后胸腔引流量均优于对照组，两组淋巴结清除数量没有明显差异(P>0.05)。结论 相较于常规开胸手术方法，应用电视胸腔镜微创手术治疗肺癌不会对患者长期生存率造成影响，而且能够减小患者创伤，促进患者术后恢复，值得临床广泛推广应用。
关键词：电视胸腔镜微创手术；肺癌；临床效果
To Investigate the Clinical Effect of Video-assisted Thoracoscopic Minimally Invasive Surgery in the Treatment of Lung Cancer
, http://www.100md.com
LI Xue-jun，WANG Wen-lin，WANG Ming-zhi
(Department of Cardiothoracic Surgery，Guangdong Second People's Hospital，Guangzhou 510317，Guangdong，China)
Abstract：Objective To analyze the clinical application effect of minimally invasive video-assisted thoracic surgery for lung cancer patients in the treatment of patients with lung cancer.Methods 50 cases were randomly selected to participate in the study received the August 2013～2015 year in August in our hospital，were randomly divided into 2 groups，the control group used conventional thoracic surgery for treatment，the traditional posterolateral incision for radical resection of lung cancer，lymph node dissection，observation group underwent minimally invasive video-assisted thoracoscopic surgery for resection of the patients with lung cancer，lymph node dissection， compared two groups of operation time，intraoperative bleeding，postoperative drainage and lymph node removal such as the number of indicators of efficacy.Results The operation time of the observation group was longer than that of the control group，the amount of bleeding， surgery in the time of hospitalization，postoperative pleural drainage was better than the control group，the two groups had no significant difference in number of lymph nodes removed(P>0.05).Conclusion Compared with conventional thoracotomy method，application minimally invasive video-assisted thoracoscopic surgery for lung cancer will not affect the long-term survival rate of patients，but also can reduce the trauma of patients，promote postoperative recovery of patients，it is worthy of clinical application.
, 百拇医药
Key words：Video-assisted thoracoscopic minimally invasive surgery；Lung cancer；Clinical effect
肺癌是臨床恶性肿瘤中发病率较高的一种，同时具有较高的死亡率，近些年由于吸烟以及环境污染导致的肺癌患者越来越多，呈现逐年上升的趋势，严重威胁患者的生命安全[1]。临床治疗肺癌患者的方法主要包括外科手术治疗、放疗以及化疗几种，具体选择哪种治疗方法需要综合考虑患者的病情状况[2]。本研究主要分析电视胸腔镜微创手术和常规开胸手术治疗肺癌患者的临床效果，现对研究结果进行整理，在下文进行详细报道。
1资料与方法
1.1一般资料 任意挑选我院2013年8月～2015年8月收治的50例肺癌病例参与研究，将所有患者随机平均分成观察组和对照组，观察组男17例，女8例，年龄范围为54～73岁，年龄平均为(66.7±4.3)岁，患者均为单个包块，其中7例左肺，6例右肺，4例下叶，3例中叶，5例上叶，包块最大6.5 cm，最小1.2 cm，平均包块直径(3.6±2.1)cm；对照组男16例，女9例，年龄范围为54～72岁，年龄平均为(65.1±4.2)岁，患者均为单个包块，其中，6例左肺，7例右肺，5例下叶，4例中叶，3例上叶，包块最大6.7 cm，最小1.4 cm，平均包块直径(3.7±2.3)cm。比较两组各项基本资料，差异不明显(P>0.05)，具备可比性。, http://www.100md.com(李学军 王文林 王明智)
关键词：电视胸腔镜微创手术；肺癌；临床效果
To Investigate the Clinical Effect of Video-assisted Thoracoscopic Minimally Invasive Surgery in the Treatment of Lung Cancer
, http://www.100md.com
LI Xue-jun，WANG Wen-lin，WANG Ming-zhi
(Department of Cardiothoracic Surgery，Guangdong Second People's Hospital，Guangzhou 510317，Guangdong，China)
Abstract：Objective To analyze the clinical application effect of minimally invasive video-assisted thoracic surgery for lung cancer patients in the treatment of patients with lung cancer.Methods 50 cases were randomly selected to participate in the study received the August 2013～2015 year in August in our hospital，were randomly divided into 2 groups，the control group used conventional thoracic surgery for treatment，the traditional posterolateral incision for radical resection of lung cancer，lymph node dissection，observation group underwent minimally invasive video-assisted thoracoscopic surgery for resection of the patients with lung cancer，lymph node dissection， compared two groups of operation time，intraoperative bleeding，postoperative drainage and lymph node removal such as the number of indicators of efficacy.Results The operation time of the observation group was longer than that of the control group，the amount of bleeding， surgery in the time of hospitalization，postoperative pleural drainage was better than the control group，the two groups had no significant difference in number of lymph nodes removed(P>0.05).Conclusion Compared with conventional thoracotomy method，application minimally invasive video-assisted thoracoscopic surgery for lung cancer will not affect the long-term survival rate of patients，but also can reduce the trauma of patients，promote postoperative recovery of patients，it is worthy of clinical application.
, 百拇医药
Key words：Video-assisted thoracoscopic minimally invasive surgery；Lung cancer；Clinical effect
肺癌是臨床恶性肿瘤中发病率较高的一种，同时具有较高的死亡率，近些年由于吸烟以及环境污染导致的肺癌患者越来越多，呈现逐年上升的趋势，严重威胁患者的生命安全[1]。临床治疗肺癌患者的方法主要包括外科手术治疗、放疗以及化疗几种，具体选择哪种治疗方法需要综合考虑患者的病情状况[2]。本研究主要分析电视胸腔镜微创手术和常规开胸手术治疗肺癌患者的临床效果，现对研究结果进行整理，在下文进行详细报道。
1资料与方法
1.1一般资料 任意挑选我院2013年8月～2015年8月收治的50例肺癌病例参与研究，将所有患者随机平均分成观察组和对照组，观察组男17例，女8例，年龄范围为54～73岁，年龄平均为(66.7±4.3)岁，患者均为单个包块，其中7例左肺，6例右肺，4例下叶，3例中叶，5例上叶，包块最大6.5 cm，最小1.2 cm，平均包块直径(3.6±2.1)cm；对照组男16例，女9例，年龄范围为54～72岁，年龄平均为(65.1±4.2)岁，患者均为单个包块，其中，6例左肺，7例右肺，5例下叶，4例中叶，3例上叶，包块最大6.7 cm，最小1.4 cm，平均包块直径(3.7±2.3)cm。比较两组各项基本资料，差异不明显(P>0.05)，具备可比性。, http://www.100md.com(李学军 王文林 王明智)
参见：100md首页 > 专题 > 热点 > 电视