胸腔镜手术在肺癌根治术中对患者肺功能的影响分析

摘要

目的：观察胸腔镜在肺癌根治术中对患者肺功能的影响和不良反应。方法：选取2011年1月-2012年7月在本院治疗的支气管肺癌患者45例，随机分为两组，分别使用开胸治疗和胸腔镜治疗，观察患者术后3个月的最大通气量、最大呼气量、1秒用力呼气容积占用力肺活量的比值和不良反应。结果：胸腔镜组的患者在术后3个月的最大通气量、最大呼气量、1秒用力呼气容积占用力肺活量的比值明显优于开胸手术组（P<0.05）。胸腔镜组的不良反应明显低于开胸手术组。结论：胸腔镜在肺癌根治术中价值较高，安全有效，对于患者的肺功能影响较小。%　　Objective:To observe the effect and adverse reaction of thoracoscopic surgery on pulmonary function in radical operation for lung cancer patients. Method:45 cases of bronchopulmonary carcinoma patients who were admitted into our hospital from Jan 2011 to Jul 2012 were selected and divided into two groups randomly,then treated with thoracotomy and thoracoscopic surgery respectively. The maximal voluntary ventilation(MVV), maximal forced expiratory volume(MFEV),the percentage of forced expiratory volumein 1 second in forced vital capacity(PFEV)and adverse reaction were observed after 3 months of operation.Result:The MVV,MFEV,PFEV of thoracoscope group were superior to thoracotomy group significantly (P<0.05),meanwhile,the adverse reaction lower than thoracotomy group.Conclusion:Thoracoscopic surgery has a high value,safety and effectiveness in radical operation for lung cancer,also has a low influence on pulmonary function.