摘要
目的比较胸腔镜下手术与开胸手术治疗肺癌累及胸壁的效果。方法选取我院2010年5月-2012年8月收治的肺癌累及胸壁患者66例,将其随机分为两组,对照组（n=32）行开胸手术,观察组（n=34）行胸腔镜下手术,比较两组疗效。结果观察组手术时间、胸腔引流管留置时间、住院时间均短于对照组（P〈0.05）,术中出血量、术后胸液总引流量少于对照组（P〈0.05）,术后并发症发生率显著低于对照组（P〈0.05）;两组1年及3年生存率差异无统计学意义（P〉0.05）。结论与开胸手术比较,胸腔镜下肺癌根治术对肺癌累及胸壁患者有相当好的远期治疗效果,且给患者机体造成的创伤更小,手术安全性更高,值得推广。
Objective To compare the effect of thoracoscopic surgery and thoracotomy on treating lung cancer involved with chest wall. Methods From May 2010 to August 2012,66 patients who were suffered from lung cancer spreading to chest wall treated in our hospital were selected.They were randomly divided into observation group and control group.In the control group（n=32） was used thoracotomy,while,the observation group（n=34） was adopted thoracoscopic surgery.The effect in the two groups was compared. Results In the observation group,operation time,indwelling time of intrathoracic drain,and hospital stay were all shorter than those in the control group（P〈0.05）.The intraoperative amount of bleeding and postoperative total volume of drainage of chest fluid in the observation group were also less in comparison with those in the control group（P〈0.05）.The incidence of complications after surgery was greatly lower in the observation group than that in the control group（P〈0.05）.There was no significant difference in one-year or three-year survival rate in two groups（P〈0.05）. Conclusion Compared with thoracotomy,radical operation for lung cancer under thoracoscope obtains a considerable long-term therapeutic effect on treating patients with lung cancer spreading to chest wall at advantages of smaller trauma on body and higher surgical safety,which is worthy of promotion.
出处
《中国当代医药》
2016年第2期26-28,共3页
China Modern Medicine
关键词
肺癌
胸腔镜下手术
开胸手术
Lung cancer
Thoracoscopic surgery
Thoracotomy surgery
