胸腔镜肺叶切除术对治疗肺癌患者心肺功能效果观察.docxVIP

胸腔镜肺叶切除术对治疗肺癌患者心肺功能的效果观察 【摘要】目的：探讨胸腔镜肺叶切除术对治疗肺癌患者心肺功能的效果。方法：选取2015年5月-2017年5月我院收治的肺癌患者76例，根据治疗方法不同分成两组，对照组应用传统的开胸手术，研究组应用胸腔镜肺叶切除手术，对比两组患者术后不同时期的心肺功能指标的变化以及手术情况。结果：两组患者术后1月的心功能指标与术后1周相比有显著差异（P0.05），且研究组的心功能指标显著优于对照组（P＜0.05）；两组患者术后1月的肺功能指标与术后1周相比有显著差异（P0.05），且研究组的肺功能指标显著优于对照组（P＜0.05）；两组患者的手术时间以及淋巴清扫数目无明显差别（P＞0.05），但研究组的术中出血量、住院时间以及并发症发生率显著低于对照组（P＜0.05）。结论：治疗肺癌患者应用胸腔镜肺叶切除术，可有效促进患者心肺功能的恢复，同时降低了并发症的发生率，减轻患者术后的痛苦，值得在临床推广应用。 【关键词】胸腔镜肺叶切除术；肺癌；心肺功能；效果 To observe the effect of thoracoscopic lobectomy on cardiopulmonary function in patients with lung cancer 【Abstract】 Objective: To investigate the effect of thoracoscopic lobectomy on cardiopulmonary function in patients with lung cancer。Methods: Selection in May 2015 - in May 2017 in our hospital 76 cases of patients with lung cancer, according to different treatment is divided into two groups, the control group used the traditional open heart surgery, the team used vats lobectomy surgery, compared two groups of patients before and after surgery of cardiopulmonary function indexes of change and operation situation. Results: Before treatment, no significant difference between the two groups of patients with heart function index (P 0.05), cardiac function indexes after treatment in the control group were significantly higher than those in the study group (P 0.05); before treatment, no significant difference between the comparison of lung function in the patients of the two groups (P 0.05), the control indexes of lung function after treatment the study group was significantly better than the group (P 0.05); two groups of patients with operation time and the number of lymph node dissection had no significant difference (P 0.05), but the amount of bleeding, the study group during hospitalization time and the incidence of complications was significantly lower than the control group (P 0.05). Conclusion: the treatment of lung cancer patients with thoracoscopic lobectomy, can effectively promote the recovery of patients with hea