全胸腔镜肺叶切除术治疗早期肺癌合并慢性阻塞性肺疾病患者的临床研究

摘要

Objective To evaluate the clinical outcome of complete video -assisted thoracoscopic surgery(VATS)lobectomy for patients with early -stage non -smal cel lung cancer and chronic obstructive pulmonary disease (COPD).Methods We analyzed the clinical data of 48 patients with early -stage NSCLC and COPD,al patients were randomly divided into the the VATS group (observation group,22 cases)or the routine smal incision open -chest lobectomy group (control group,26 cases).Perioperative clinical parameters of 2 groups were compared. Results Al data showed that intraoperative blood loss in patients,post -operative drainage in 24 hours,VAS score,post operation hospitalization duration of the observation group were signifi-cantly less than the control group(P <0.05).The operative time,the mean group of lymph node dissection,incidence of postoperative complications showed there were no statistical y significant dif erence between the two groups(P >0.05).Conclusion Complete video -assisted thoracoscopic surgery lobectomy for patients with early -stage NSCLC and COPD of ers less injury and a more rapid recovery than routine smal incision open -chest lobectomy.%目的：探讨全胸腔镜肺叶切除术治疗早期肺癌合并慢性阻塞性肺疾病患者的临床效果。方法将48例早期非小细胞肺癌合并慢性阻塞性肺疾病患者分为全胸腔镜组（研究组）22例，单纯小切口组（对照组）26例，比较2组患者围手术期的临床指标。结果研究组术中出血量、术后24小时引流量、术后1d 疼痛评分、术后住院天数等指标均显著低于对照组（P<0．05）。两组手术时间、淋巴结清扫数目枚、术后并发症发生率比较差异无显著性（P ＞0．05）。结论全胸腔镜肺叶切除术治疗早期肺癌合并慢性阻塞性肺疾病较单纯小切口手术创伤更小，术后恢复快。