全胸腔镜手术与常规开胸手术治疗周围型肺癌手术效果比较研究.docVIP

全胸腔镜手术与常规开胸手术治疗周围型肺癌手术效果比较研究 　　[摘要] 目的 比较全胸腔镜手术和常规开胸手术治疗周围型肺癌的手术效果。 方法 选择2009年1月―2014年8月期间在该院住院治疗的周围型肺癌患者共190例，根据手术方式不同，分为胸腔镜组（n=103）和常规手术组（n=87）。比较两组患者的术中和术后指标。 结果 两组手术时间和术中出血量差异无统计学意义（P0.05）。而胸腔镜组术后引流量、引流时间和术后住院时间均少于常规手术组（P0.05）。胸腔镜组术后并发症发生率为7.8%（8/103），显著低于常规手术组的27.6%（24/87）（P0.01）。结论 全胸腔镜手术是治疗早期周围型肺癌的有效治疗方案，值得推广应用。 　　[关键词] 全胸腔镜手术；肺癌；手术效果 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）02（a）-0058-02 　　Comparative Study on the Efficacy Between Video-assisted Thoracoscopic Surgery and Open Thoracotomy in Treatment of Peripheral Lung Cancer 　　LI Chenghui WANG Guoyong XIE Fangwei ZOU Haifeng 　　Cardiothoracic surgeryDepartment of Tiefa Coal Industry Group General Hospital， Diaobingshan Drovince， Liaoning， 112700，China 　　[Abstract] Objective to comparethe efficacybetween video-assisted thoracoscopic surgery （VATS） and open thoracotomy in treatment of peripheral lung cancer. Methods 190 cases of patients with early peripheral lung cancer were admitted in hospital from January 2011 to August 2014. According to the different modes of operation， the cases were divided into VATS group（n=103） and conventional operation group（n=87）.The clinical results were compared between the two groups. Results The operation time and bleeding volume had no statistical difference between the two group（P0.05）. the drainage volume， drainage time and postoperative hospitalization time in VATS were less than conventional operationgroup（P0.05）. The incidence of postoperative complications in VATS was 7.8%（8/103）， significantly lower than conventional operationgroup 27.6%（24/87）（P0.01）. Conclusion VATS is an effective treatment regimen in the treatment of early peripheral lung cancer， which is worthy of popularization and application. 　　[Key words] Video-assisted thoracoscopic surgery； Lung cancer；Efficacy 　　肺癌是目前人类最常见的恶性肿瘤之一，是严重危害人类的健康的恶性疾病。2003年世界卫生组织公布其发病率高达120万/年，死亡率高达110万/年，且呈逐年上升趋势[1-2]。周围型肺癌是指发生在段支气管以下的肺癌，大约占肺癌的1/4，且以腺癌为主。其早期诊断和及时治疗是提高生存率的关键环节[3]。目前，全胸腔镜手术（Video-Assisted Thoracoscop