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中国当代医药  2020, Vol. 27 Issue (30): 103-105转109    
  肿瘤医学 本期目录 | 过刊浏览 | 高级检索 |
完全胸腔镜手术治疗早期肺癌的临床效果
张磊
江西省宜春市人民医院普外科,江西宜春 336000
Clinical effect of complete thoracoscopic surgery in the treatment of early lung cancer
ZHANG Lei
Department of General Surgery,Yichun People′s Hospital,Jiangxi Province,Yichun 336000,China
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摘要 目的 研究早期肺癌患者开展完全胸腔镜手术治疗的价值。方法 选取2017年1月~2020年1月我院收治的100例早期肺癌患者,依据随机数字表法分为对照组与实验组,各50例。对照组采用开胸肺叶切除术治疗,试验组采用完全胸腔镜手术治疗。比较两组的治疗总有效率、并发症总发生率、疼痛程度、手术指标。结果 试验组的治疗总有效率(90.00%)高于对照组(74.00%),差异有统计学意义(P<0.05)。试验组的并发症总发生率(12.00%)低于对照组(28.00%),差异有统计学意义(P<0.05)。试验组的疼痛程度轻于对照组(P<0.05)。试验组的术中出血量少于对照组,出院时间、引流时间、手术时间短于对照组,差异有统计学意义(P<0.05)。结论 早期肺癌患者开展完全胸腔镜手术治疗可降低并发症发生率、疼痛程度,缩短住院时间,提高治疗总有效率,效果更理想。
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张磊
关键词 完全胸腔镜手术早期肺癌手术疗效并发症疼痛效果出院时间手术时间引流时间    
Abstract Objective To study the value of complete thoracoscopic surgery in the treatment of patients with early lung cancer.Methods From January 2017 to January 2020,100 patients with early lung cancer in our hospital were selected and divided into the control group (n=50) and the experimental group (n=50) according to random number table method.The control group was treated with open pulmonary lobectomy,and the experimental group was treated with complete thoracoscopic surgery.The total effective rate,the total incidence rate of complication,pain degree and operation index of the two groups were compared.Results The total effective rate in the experimental group was 90.00%,which was higher than that in the control group accounting for 74.00%,and the difference was statistically significant (P<0.05).The total incidence rate of complications in the experimental group was 12.00%,which was lower than that in the control group accounting for 28.00%,and the difference was statistically significant (P<0.05).The pain degree of the experimental group was milder than that of the control group (P<0.05).The amount of bleeding during operation of the experimental group was less than that of the control group,and the discharge time,drainage time,and operation time of the experimental group were all shorter than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Complete thoracoscopic surgery in the treatment of patients with early lung cancer can reduce the incidence of complications,pain,shorten the length of hospital stay,improve the total effective rate of treatment,the effect is more ideal.
Key wordsComplete thoracoscopic surgery    Early lung cancer    Surgical efficacy    Complications    Pain effect    Discharge time    Operation time    Drainage time
    
基金资助:江西省宜春市科技计划项目(JXYC2016KSC011)
作者简介: 张磊(1983-),男,江西宜春人,本科,主治医师,主要从事普外科胸外方向的工作
引用本文:   
张磊. 完全胸腔镜手术治疗早期肺癌的临床效果[J]. 中国当代医药, 2020, 27(30): 103-105转109.
ZHANG Lei. Clinical effect of complete thoracoscopic surgery in the treatment of early lung cancer. 中国当代医药, 2020, 27(30): 103-105转109.
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