目的：探讨电视胸腔镜辅助下行小切口肺癌手术治疗的临床效果。方法随机选取我院2013年6月～2015年6月胸外科收治的40例肺癌患者作为研究对象，分成观察组（腔镜）和对照组（开胸）各20例，统计术后各项指标，对胸腔镜治疗肺癌疗效进行回顾性分析。结果观察组住院时间、引流时间、引流量、下床时间[（6.59±2.39）d、（2.16±1.11）d、（256.27±18.39）ml、（1.04±0.55）d]均优于对照组[（10.63±1.04）d、（6.45±2.39）d、（504.87±25.59）ml、（3.48±1.25）d]（P＜0.05）；观察组并发症发生率低于对照组（P＜0.05）；对比两组淋巴结清扫总数差异未见统计学意义（P＞0.05）。结论电视胸腔镜辅助下行小切口肺癌手术有效缩短患者住院、引流、下床时间，减少并发症，清扫淋巴结迅速，减轻患者痛苦。%Objective To investigate the clinical effect of video assisted thoracic surgery in the treatment of lung cancer with small incision.Methods Randomly selected from June 2013 to June 2015 in Department of thoracic surgery,40 cases of lung cancer patients as the research object. They were divided into observation group(laparoscopic)and control group (thoracotomy),20 cases in each. The statistics of the index, on the efficacy of thoracoscopic treatment of lung cancer were retrospective analyzed. Results In the observation group of hospitalization time,time of drainage,drainage volume,get out of bed time [(6.59±2.39)d、(2.16±1.11)d、(256.27±18.39)ml、(1.04±0.55) d] were better than control group [(10.63±1.04)d、(6.45±2.39)d、(504.87±25.59)ml、(3.48±1.25)d](P<0.05). And the complications incidence rate was lower than the control group(P<0.05),and compared two groups of lymph node sweeping differences in the total numbers were of no statistical significance(P>0.05).ConclusionVideo assisted thoracic surgery in patients with small incision lung cancer surgery can shorten the hospitalization,drainage volume,get out of bed time,reduce complications, clean the lymph nodes quickly,and reduce the pain of patients.
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