目的：探讨胸腔镜肺叶切除术治疗老年早期周围型肺癌的临床疗效。方法将我院2011年1月至2013年1月收治的64例早期周围型肺癌患者按照入院顺序随机分为两组，每组各32例，其中对照组采取传统开胸手术，观察组采取腹腔镜肺叶切除术，比较两组手术及术后并发症发生情况。结果两组手术时间比较差异无统计学意义(P>0.05)，而观察组术中出血量、切口长度、术后疼痛评分及平均住院时间分别为(82.10±5.9) ml、(3.02±0.12) cm、(4.35±0.53)分和(5.32±0.72) d，均明显少于对照组，差异均有统计学意义(P<0.05)；观察组并发症发生率为6.25%，也明显低于对照组的15.63%，差异有统计学意义(P<0.05)。结论胸腔镜肺叶切除术治疗老年早期周围型肺癌疗效显著，具有创伤小、出血少、术后恢复快的优势，值得临床推广应用。%Objective To investigate the application of VATS lobectomy in elderly patients with early pe-ripheral lung cancer. Methods 64 patients with early peripheral lung cancer from January 2011 to January 2013 were randomly divided into two groups according to order of admission, each group had 32 cases, and the control group was given the traditional thoracotomy while the observation group was given laparoscopic lobectomy. The sur-gery and postoperative complications were compared between the two groups. Results There was no significant dif-ference in operative time between the two groups;the blood loss, the length of incision, postoperative pain scores and the average hospital stay were (82.10±5.92) ml, (3.02±0.12) cm, (4.35±0.53) points and (5.32±0.72) d, and significant-ly less than those in the control group (P<0.05);the complication rate of the observation group was 6.25%, which was significantly lower than 15.63%of the control group (P<0.05). Conclusions The VATS lobectomy is significantly effective in the treatment of early peripheral lung cancer, ,with little trauma and bleeding, and rapid postoperative re-covery advantages.
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