摘要
目的分析临床应用胸腔镜肺亚叶切除术治疗I期高龄非小细胞肺癌的疗效及安全性。方法选取我院收治的60例高龄非小细胞肺癌患者,按随机数字表法随机分为对照组和观察组各30例,对照组给予胸腔镜肺叶切除术,观察组给予胸腔镜肺亚叶切除术,分析两组治疗后的效果。结果观察组临床疗效明显高于对照组(P<0.05),两组患者术后肺功能均较术前明显下降(P<0.05),但术后3个月时观察组各项指标明显高于同期对照组(P<0.05),并发症发生率也较对照组明显降低(P<0.05),3年生存率比较无明显差异(P>0.05)。结论胸腔镜肺亚叶切除术治疗I期高龄非小细胞肺癌临床疗效显著,安全性高。
Objective To analyze the efficacy and safety of thoracoscopic pulmonary lobectomy in treatment of elderly patients with stage I non-small cell lung cancer. Methods 60 elderly patients with non-small cell lung cancer treated in our hospital from February were selected and divided into two groups randomly, 30 cases in each group. The treatment effect of the two groups was analyzed. Results The clinical efficacy of the observation group was evidently better than that of the control group （ P 〈 0.05 ）. The lung function of the two groups after operation reduced evidently （ P 〈 0. 05 ） , and the incidence of complications in the observation group was evidently lower than that in the control group （ P 〈 0. 05 ）. There was no evident difference in three-year survival rate between the two groups （P 〉 0. 05 ）. Conclusion Thoracoscopic pulmonary lobectomy has evident clinical efficacy and it is safe in treatment of elderly patients with stage I non-small cell lung cancer.
作者
何学东
张同钦
王世平
马伟
寇瑛莉
HE Xue-dong ZHANG Tong-qin WANG Shi-ping MA Wei KOU Ying-li(Department of Thoracic Surgery, People＇s Hospital of Jianyang, Jianyang, Siehnan 641400, China)
出处
《临床肺科杂志》
2017年第6期1012-1014,共3页
Journal of Clinical Pulmonary Medicine
关键词
非小细胞肺癌
胸腔镜手术
肺亚叶切除术
疗效
non-small cell lung cancer
thoracoscopic surgery
pulmonary lobeetomy
efficacy
