全胸腔镜支气管袖式切除术治疗中央型肺癌的临床观察

摘要

Objective: To investigate the clinical effects of complete thoracoscopic bronchial sleeve resection for central lung cancer.Methods:From January 2010 to December 2013 49 cases of central cancer hospitalized in our hospital were chosen as research objects.According to the order of admission they were randomly divided into the observation group (24 cases) and the control group (25 cases).Patients in the observation group were received bronchial sleeve endoscopic resection and patients in the control group were treated with traditional bronchial sleeve thoracotomy.The perioperative clinical parameters and the incidence of postoperative complications in the two groups were compared.Results:A series of perioperative clinical index in the observation group were better than the control group of patients,and the difference was statistically significant (P<0.05).The incidence of postoperative complications in patients of the observation group was lower than the control group,and the difference was statistically significant (P<0.05).Conclusion:The complete thoracoscopic bronchial sleeve resection for central lung cancer patients is preferable for shorter surgical time,less blood loss and faster recovery,and without serious postoperative complications.This new treatment is worthy for widely clinical promotion.%目的：探讨全胸腔镜支气管袖式切除术治疗中央型肺癌的临床效果。方法：选取我院2010年1月～2013年12月入院治疗的49例中央型肺癌患者做为研究对象。按照入院顺序随机分为观察组24例与对照组25例，观察组患者在全胸腔镜下应用支气管袖式切除术治疗，对照组患者在给予常规开胸支气管袖式切除术治疗。对比两组患者的围术期临床指标及术后并发症发生情况。结果：观察组患者的围术期各项临床指标显著优于对照组患者，差异具统计学意义(P＜0.05)。观察组患者术后并发症发生率显著低于对照组，差异具统计学意义(P＜0.05)。结论：在全胸腔镜下给予中央型肺癌患者实施支气管袖式切除术，具有手术用时短，术中出血少，恢复快的特点，术后无严重并发症出现。