电视胸腔镜辅助小切口肺叶切除术在肺癌治疗过程中的价值

摘要

Objective:To investigate the value of VATS-assisted small incision in the treatment of lung cancer.Methods:82 cases of lung cancer in our hospital from January 2012 to 2013 July were randomly divided into two groups with 41cases in each group.The control group was given conventional thoracotomy lobectomy while the observation group was given VATS assisted small incision lobectomy,and the surgical cases and incidence of complications were observed between the two groups.Results:There was no significantly difference in operative time between the two groups (P>0.05);The incision length,blood loss,postoperative analgesia and the average hospital stay of observation group were (6.02±1.00) cm,(156.55±19.57) ml,(2.13±0.20) d and (6.87±1.20) d,which were significantly lower than those of control group (P<0.05);The complication rate of observation group was 4.88%,which was significantly lower than 14.63% of the control group (P<0.05).Conclusion:VATS-assisted with small incision lobectomy has significant effect in treatment of lung cancer and it can be achieved to the elimination and it is safe,which is worthy of further promotion and application in clinical.%目的:探讨电视胸腔镜(VATS)辅助小切口肺叶切除术用于肺癌治疗的应用价值.方法:将某院2012年1月~2013年7月收治的82例肺癌患者随机分为两组,每组各41例,其中对照组行常规开胸肺叶切除术,观察组行VATS辅助小切口肺叶切除术,观察两组手术情况及并发症发生率.结果:两组手术时间比较无显著性差异(P>0.05);观察组切口长度、术中出血量、术后镇痛时间及平均住院时间分别为(6.02±1.00)cm、(156.55±19.57)ml、(2.13±0.20)d和(6.87±1.20)d,均显著低于对照组(P<0.05);观察组并发症发生率为4.88%,显著低于对照组的14.63%(P<0.05).结论:VATS辅助小切口肺叶切除术用于肺癌治疗效果显著,可达到彻底清除的目的,且安全性高,值得临床进一步推广和应用.