完全胸腔鏡手术论文完全胸腔镜肺叶切除术对肺癌患者术后近期生存质量的影响.docVIP

完全胸腔镜手术论文：完全胸腔镜肺叶切除术对肺癌患者术后近期生存质量的影响 【中文摘要】评价完全胸腔镜肺叶切除术对肺癌患者术后近期生存质量的影响。选取2009年08月至2010年06月南京军区福州总医院心胸外科临床诊断为非小细胞肺癌(Ⅰ期、Ⅱ期及部分ⅢA期)患者40例,所选病例按照手术方式随机分为分2组：完全胸腔镜手术(VATS)组20例,传统开胸手术(TOS)组20例。比较两组手术时间、术中出血量、术后引流液量、术后住院天数等围手术期指标；并分别于术前1天,术后1月、术后6月采用肺癌治疗功能评价量表(FACT-L)和原发性肺癌症状分级化量表进行生存质量评价,对比两组患者的身体状况(PW)、社会家庭状况(SFW)、情感状况(EW)、功能状况(FW)、附加关注情况(LCS)及中医症状积分(TCS)。两组均顺利完成手术,两组患者在性别、年龄、肿瘤直径、肿瘤所在肺叶、肿瘤病理类型、TNM分期及术前生存质量等构成上无统计学差异(P0.05)(1) VATS组患者在术中出血量、术后引流液量、术后住院时间等围手术期指标较TOS组有明显优势(P0.05)(3)术后6月,VATS组患者在PW, FW、FW, LCS及TCS方面均优于术前水平(PO.05),TOS组患者仅在LCS及TCS方面优于术前水平(P＜0.05)。组间比较,VATS组在PW、SFW、EW、FW, LCS及TCS均较TOS组有明显优势(P0.05)。与传统开胸手术相比,完全胸腔镜肺叶切除术后肺癌患者近期生存质量占明显优势,完全胸腔镜肺叶切除术能有效减轻肺癌治疗期间中医症状,提高近期生存质量,适宜临床推广应用。 【英文摘要】：To evaluate the effect of quality of life (QOL) in patients with NSCLC after Complete video-assisted thoracoscopic Lobectomy.Methods:Forty patients who were diagnosed to non-small cell lung cancer at stageⅠ,Ⅱand some ofⅢA from August 2009 to June 2010 at the Thoracic Surgery department of Fu zhou General Hospital of Nanjing Military Command, were divided into VATS group (20cases) and traditional open surgery group (TOS) (20cases). Perioperative Period index includs the operation time, intraoperative blood loss, volume of drain and postoperative hospital stay were compared between two groups. Self-reported QOL was assessed using a Chinese version of functional assessment of cancer therapy-lung (FACT-L)and traditional chinese medicine symptoms classification of lung-cancer in these patients before,1 month and 6 months after the operation. FACT-L scales of physical well-being (PW), emotional well-being (EW), functional well-being (FW),social family well-being (SFW), as well as lung cancer subscales(LCS) and traditional chinese medicine symptoms Score(TCS) were compared between the two groups.Results:All operations were completed under general anesthesia. There were no significant differences between the 2 groups of patie