电视胸腔镜手术对老年非小细胞肺癌患者术后心肺并发症的影响

摘要

目的 对比电视胸腔镜手术与传统开胸手术治疗老年非小细胞肺癌患者术后心肺并发症发生情况.方法 选择我院2010年3月至2014年6月收治的122例老年非小细胞肺癌患者,参照随机数字表法分为观察组和对照组,各61例.观察组患者采用电视胸腔镜手术切除肺叶,对照组患者采用传统开胸手术切除肺叶.对比两组患者术后心肺并发症的发生情况和心肺功能指标.结果 术前两组患者心肺功能相关指标比较差异无统计学意义(P＞0.05).术后观察组患者第1 s用力呼气容积和最大通气量等肺功能指标水平均大于对照组(P＜0.05);观察组患者心率低于对照组(t=5.677,P＜0.05).观察组心肺并发症发生率13.1％低于对照组心肺并发症发生率27.9％(x2=4.075,P=0.044).结论 电视胸腔镜手术用于治疗老年非小细胞肺癌,有利于患者心肺功能恢复,减少术后心肺并发症.%Objective To compare the incidence of cardiopulmonary complications between treatment of video assisted thoracoscopic operation and traditional thoracotomy operation in elderly patients with non-small cell lung cancer.Methods 122 cases of elderly patients with non small cell lung cancer were treated in our hospital from Mar 2010 to Jun 2014,and randomly divided into observation group (therapeutic lobectomy by video assisted thoracoscopic operation) and control group (therapeutic lobectomy by traditional thoracotomy operation) (n=61,each).The postoperative cardiopulmonary complications and relevant indexes of cardiopulmonary function were analyzed and compared between the two groups.Results Before operation,there was no significant difference in the relevant indexes of cardiopulmonary function between the two groups (P＞0.05).After operation,the forced expiratory volume in one second (FEV1) and maximal ventilatory volume (MMV) were higher and the heart rate was lower in observation group than in control group (t=3.682,2.243,5.677,all P＜0.05).The incidence of cardiopulmonary complication was lower in observation group than in control group (13.1％ vs.27.9％,x2 =4.075,P=0.044).Conclusions Video assisted thoracoscopic operation is better for the recovery of cardiopulmonary function,and can reduce cardiopulmonary complication in elderly patients with non-small cell lung cancer.