肺癌根治术对肺癌患者生存质量影响探析.docVIP

肺癌根治术对肺癌患者生存质量影响探析 　　摘要：目的 探究肺癌患者通过胸腔镜下肺癌根治术治疗后所存在的应用价值。方法 选取我院收治的肺癌患者80例，随机分为两组各40例。对照组为开胸手术治疗，观察组为胸腔镜下肺癌根治术治疗。比较两组患者的疗效、不良反应、生存质量以及平均术中出血量和住院时间情况。结果 对照组总有效率?c观察组相比差异不明显（P0.05）；观察组不良反应发生率、平均术中出血量和住院时间明显低于对照组（P0.05）；观察组生存质量各项指标均比对照组高（P0.05）。结论 肺癌患者通过胸腔镜下肺癌根治术治疗后，在减少术中出血量、住院时间及不良反应发生率的同时，使生存质量显著改善，且治疗效果较好，存在显著推广价值。 　　关键词：肺癌；胸腔镜；肺癌根治术 　　中图分类号：R734.2 文献标识码：A 文章编号：1006-1959（2017）25-0034-02 　　Abstract：Objective To investigate the value of thoracoscopic lung cancer radical mastectomy in patients with lung cancer.Methods 80 patients with lung cancer admitted to our hospital were randomly divided into two groups of 40 cases.The control group was treated by thoracotomy and the observation group was treated by thoracoscopic radical resection of lung cancer.The curative effect，adverse reaction，quality of life，average blood loss and length of stay in two groups were compared.Results The total effective rate in the control group was not significantly different from that in the observation group（P0.05）.The incidence of adverse reactions，average blood loss and length of hospital stay in the observation group were significantly lower than those in the control group（P0.05），The indicators of quality of life in the observation group were higher than those in the control group （P0.05）.Conclusion After thoracoscopic radical resection of lung cancer，the lung cancer patients can significantly improve the quality of life and reduce the intraoperative blood loss，hospital stay and the incidence of adverse reactions，and the treatment effect is good，which has a significant promotion value. 　　Key words：Lung cancer；Thoracoscopy；Lung cancer radical mastectomy 　　肺癌是指在支气管黏膜上皮部位发生的癌肿，在我国是一种发病率较高的呼吸系统疾病，在中老年人中比较多见，且男性多于女性[1]。该病病情发展较快，致死率高，对患者生命健康危害性较大，需予以积极有效治疗。本文为探究肺癌患者通过胸腔镜下肺癌根治术治疗后所存在的应用价值，选取我院收治的肺癌患者80例，现报道如下。 　　1资料与方法 　　1.1一般资料 　　选取2014年6月～2016年8月收治的80例肺癌患者，随机分为观察组和对照组各40例。纳入标准：①两组患者均符合WHO规定的肺癌的相关诊断标准[2]；②征得所有患者同意。排除标准：①伴有心血管、脑血管疾病患者；②不正常的肝功能和肾功能者；③对药物易产生过敏反应者。观察组男23例，女17例，年龄50～70岁，平均年