目的：研究 VATS 解剖性肺切除术对非小细胞肺癌的临床疗效。方法回顾性分析接受 VAMT 解剖性肺切除术治疗的148例Ⅰ／Ⅱ期非小细胞肺癌患者的临床资料。结果所有患者切口长度为（7．59±1．50） cm，手术时间为（149．58±10．45）min，术中出血量为（149．59±20．98） mL，平均住院时间（7．65±0．5） d。左下肺叶切除率最高为25．68％，各肺叶切除比例存在统计学差异（P ＜0．05）。鳞癌发病率最高为46．62％，各病理类型比例存在统计学差异（P＜0．05）。 N0期比例为65．54％，各病理分期比例存在统计学差异（P ＜0．05）。术后并发症发生率为14．86％，各类并发症发生比例无统计学差异（P ＞0．05）。5年生存率为68．24％，各年生存率存在统计学差异（P ＜0．05）。结论VATS 解剖性肺切除术治疗非小细胞肺癌5年生存率高，创伤小，恢复快，并发症发生率低，值得应用于临床。%Objective To study the clinical efficacy of VATS anatomic lung resection for non -small cell lung cancer. Methods Clinical data of 148 cases of stage Ⅰ/Ⅱ non-small cell lung cancer who received VAMT anatomic lung resection were retrospectively analyzed.Results The incision length of all patients was (7.59 ±1.50) cm,the operation time was (149.58 ± 10.45) min,the amount of hemorrhage was (149.59 ±20.98) ml,the average hospitalization time was (7.65 ±0.5) d.The left lower lobe resection rate was up to 25.68%,there was significant difference between the proportion of each pulmonary lobectomy (P <0.05).The highest incidence rate of squamous cell carcinoma was 46.62%,and there had significant differences between different pathological types (P <0.05).N0 phase was 65.54%,and there were significant differences between different patholog -ical stages (P <0.05).The postoperative complication rate was 14.86%,the incidence of different complications had no statisti -cal difference (P >0.05).The 5-year survival rate was 68.24%,the survival rate at different time had statistical difference (P <0.05).Conclusion VATS anatomic lung resection for non-small cell lung cancer has high 5-year survival rate,small trauma, quick recovery,and low incidence of complications ,it is worthy of clinical application.
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