电视胸腔镜辅助小切口与单纯腋下小切口肺癌手术的临床疗效比较.pdfVIP

史国基星匿麴!Q!!笙!旦箜!Q鲞箜!塑鱼!垫!堕坐丛塑旦!婴：垒P堕!!!!!：!塑：垫：堂：! 电视胸腔镜辅助小切口与单纯腋下小切口 肺癌手术的临床疗效比较 杨扬刘延风许瑞彬 【摘要】 目的比较电视胸腔镜辅助小切口和单纯腋下小切口行肺癌手术的效果。方法85例肺癌患 者分别采用电视胸腔镜辅助小切口(胸腔镜辅助组)和单纯腋下小切口(腋下小切EI组)手术治疗。比较两组 手术时间、术中出血量、术后胸腔引管留置时间、术后住院时间及术后并发症。结果两组均无死亡病例，胸 腔镜辅助组手术时间和术中出血量明显低于腋下小切口组(t=6．514、2．413，均P0．05)，而两组术后胸腔 引流管留置时间、术后住院时间以及并发症发生率差异无统计学意义(t=0．490、0．338，均P0．05)。 结论 电视胸腔镜辅助下小切口肺癌手术创伤小，安全性好，可在临床上推广应用。 【关键词】胸外科手术，电视辅助；胸腔镜检查；肺肿瘤 ofclinicaleffectbetweenvideo-assisted andlimited plusminithoracotomyaxinary Comparison thoracoscopy forthetreatmentof cancer ThoracicSur- thoracotomy lung Ruibin．Departmentof y0昭‰ng，L／u玩咖昭，Xu 酽¨，theAffiliatedHospitalofYan’anUniversity，Yah’art，Shanxi，716000，China To the ofvideo—assisted 【Abstract】Objectivecompareefficacy thoracoscopyplusminithoracotomy(VAMT)and limited the of cancer treatmentc蛐CeF．Methods85consecutive axiUarythoracotomy(IAT)forlung lung patients weretreatedeitherVAMTorLAT．The loss chest time。blood by operative duringoperation，postoperativedrainage and two time were betweenthe There time，and stay groups．Results hospital postoperativecomplicationcompared Wasno in timeandbloodloss were lessinVAMTthan deathtwo groups．Theoperative duringoperationsignificant chest timeand inLAT(t=6．514，2．413，allP0．05)．Butpostoperativedrainagetime，andhospitalstay postoperative weieno differencebetweenthetwo VAMT complicationsignificant groups(t=0．490，0．338，allP0．05)．Conclusion isasafea