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目的探讨全电视胸腔镜直视下与传统开胸手术行肺癌根治术的效果比较。方法 76例肺癌患者,按照随机方法将其分为全电视胸腔镜组和传统开胸组,并比较2组方法在肺癌根治效果是否具有差异。结果全电视胸腔镜组的手术时间、胸管导流时间与传统开胸手术组相比,差异无统计学意义(P>0.05);而与传统开胸组比较,全电视胸腔镜组术后疼痛显著减轻,手术时间、手术中出血量、住院时间显著减少,患者术后早期的生存质量得到明显改善。结论全胸腔镜直视下行肺癌根治术具有创伤小、疼痛少、效果好、恢复快等优点,该方法值得在临床推广使用。
Objective To investigate the effect of total thyroidectomy under direct vision versus traditional thoracotomy for lung cancer. Methods Totally 76 patients with lung cancer were divided into two groups according to the randomized method: thoracoscopic group and conventional thoracotomy group. The difference between the two groups in the curative effect of lung cancer was compared. Results Compared with the conventional thoracic surgery group, the operation time and the time of the chest tube diversion in the total thoracoscopic group were not significantly different (P> 0.05). However, compared with the conventional thoracoscopic group, the total thoracoscopic group Significantly reduce the pain, operation time, bleeding during surgery, hospitalization time was significantly reduced, the quality of life of patients after surgery was significantly improved. Conclusions Thoracoscopic direct lung cancer radical operation has the advantages of less trauma, less pain, good effect and quick recovery. The method is worthy of clinical application.