胸腔镜下行肺癌根治术治疗肺癌的疗效观察.docVIP

胸腔镜下行肺癌根治术治疗肺癌的疗效观察 　　摘要：目的：观察胸腔镜下行肺癌根治术治疗肺癌的临床疗效。方法：选取2013年8月到2014年8月期间于我院接受治疗的100例肺癌患者，将其随机均分为两组。对照组采用常规开胸手术治疗，观察组采用腹腔镜下肺癌根治术治疗，比较两组患者并发症发生率、术后住院时间、引流管拔除时间、淋巴结清除情况及生活质量。结果：对照组患者的并发症发生率为24.0%，大于观察组；观察组患者术后住院时间、术后引流管拔除时间均少于对照组；两组患者的术中淋巴结清扫数量无显著差异；对照组患者术后6个月在物质功能、社会功能、心理功能三方面的生活质量评分均低于观察组，P0.05。结论：胸腔镜下行肺癌根治术疗效显著，术后恢复时间短，具有较高的安全性，值得在临床上进行推广。 　　关键词：胸腔镜；肺癌根治术；肺癌患者；并发症 　　Abstract：Objective：To observe the clinical effect of the treatment of lung cancer by the treatment of lung cancer with lung cancer. Methods：Selected 100 cases of lung cancer patients treated from in our hospital for 2014 August to 2013 August， randomly divided into two groups. Patients in control group were treated with conventional thoracotomy in the treatment， the observation group used laparoscopic lung cancer treated with radical mastectomy， were compared between the two groups of patients with complications occurrence rate， postoperative hospitalization time， drainage tube removal time， lymph node dissection and quality of life. Results：Control group of patients with complications incidence rate was 24.0%， higher than that of the observation group； patients in the observation group after hospitalization time， postoperative drainage tube after extubation time were less than that of the control group； operation of patients in the two groups in the number of lymph node dissection had no significant difference； control group of patients after 6 months in physical function， social function， psychological function three aspects of quality of life score were lower than the observation group （P 0.05）. Conclusion：The curative effect of the treatment of lung cancer with lung cancer is remarkable， the recovery time is short， and it has high security， it is worth clinical promotion. 　　Keywords：Thoracic cavity； Radical operation of lung cancer； Lung cancer patients； Complication 　　作为常见的临床恶性肿瘤之一，肺癌通常从支气管黏膜上皮开始发病，所以又称为支气管肺癌，近几年其发病率持续增高[1]。肺癌的发病人群主要是50岁以上的中老年男性，临床表现包括血痰、低热、胸部胀痛、咳嗽等，在癌症病种中其发病率最高，大部分患者就诊时肺癌