胸腔镜下肺叶切除术对早期周围型肺癌 疗效分析.docVIP

胸腔镜下肺叶切除术对早期周围型肺癌 疗效分析 　　【摘要】目的探讨胸腔镜下肺叶切除术对早期周围型肺癌的疗效分析。方法104例早期周围型肺癌患者作为研究对象, 并随机均分为两组, 对照组给予常规开放性手术治疗, 实验组给予胸腔镜下肺叶切除术治疗, 术后观察分析两组患者的临床疗效。结果两组患者的手术均顺利完成, 且两组患者的手术时间相差不大, 差异无统计学意义(P0.05)。但是在住院时间、引流管留置时间、下床活动时间及失血量与术后并发症方面, 实验组明显优于正常组, 差异有统计学意义(P0.05)。结论胸腔镜下肺叶切除术治疗早期周围型肺癌, 具备疗效显著、微创伤、安全可靠等优势, 值得进一步推广。 　　【关键词】胸腔镜；肺叶切除术；围手术期；早期周围型肺癌 　　 　　Curative effect analysis of thoracoscopic lobectomy for early peripheral lung cancer LI Gang. Department of Galactophore, 458 Hospital of PLA, Guangzhou 510600, China 　　【Abstract】Objective To explore the curative effect of thoracoscopic lobectomy for early peripheral lung cancer. Methods Selected 104 cases of peripheral lung cancerpatients as the research objects, andrandomly divided them into two groups, one group was treated with conventional openoperation treatment (control group), another group was given thoracoscopic lobectomy (experimental group), analyzed clinical curative effect of the two groups after operation. Results Operation of two groups were successfully completed and the operation time of two groups were similar(P0.05). But at the time of hospitalization, drainage time, ambulation time and blood loss and postoperative complications ofexperimental group were less than normal group, the difference was statistically significant(P0.05). Conclusion Thoracoscopic lobectomy for early peripheral lung cancer with significant efficacy, minimally invasive, safety and other advantages, so it is worthy of further promotion. 　　【Key words】Thoracoscope; Lobectomy; Perioperation period; Early peripheral lung cancer 　　随着社会及科学的突飞猛进, 人类对于地球的索取日益增多且无休无止, 现代人类的生存环境越来越恶劣, 包括机体所处的物理环境和思想上所承受的精神环境, 从而导致了各种肿瘤在不断威胁着人们的生命安全, 肿瘤已是导致我国劳动力大量丧失的重要原因之一。而肺癌是人体肺部最普遍的一种恶性肿瘤, 其发病率稳居前列。肺癌可根据肿瘤发生部位分为中心型肺癌与周围型肺癌, 其中早期周围型肺癌的最佳治疗方式仍是手术治疗。随着医学的进步, 近年来在胸腔镜下实施肺叶切除术, 已为早期型肺癌患者的救治取得了极为显著的临床疗效。详情报告如下。 　　1资料与方法 　　1. 1一般资料2010年12月~2013年12月期间, 抽样选取104例早期周围型肺癌患者作为研究对象(所有患者均符合相关诊断标准, 且排除了部分不宜研究的对象, 比如精神类患者、胸部手术史患者等), 并随机均分为两组。其中对照组52例患者中：男19例, 女33例；年龄39~80岁, 平均