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目的比较胸腔镜下肺叶切除术与常规开胸术治疗早期周围型肺癌的疗效。方法收集120例早期周围型肺癌患者,根据不同的手术方式分为试验组(80例)和对照组(40例)。试验组和对照组患者分别采用胸腔镜下肺叶切除术和常规开胸手术治疗。结果所有患者均痊愈,试验组患者的术中出血量、术后住院时间和术后第1天胸腔引流量均显著低于对照组(P<0.05)。试验组患者术后最大通气量(MVV)、用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、生理机能评分、生理职能评分、躯体疼痛评分和总体健康状况评分均显著高于对照组,差异有统计学意义(P<0.05)。结论与常规开胸术比较,胸腔镜下肺叶切除术具有术中创伤少、恢复快等特点,有利于患者肺功能恢复,提高患者术后生活质量。
Objective To compare the efficacy of thoracoscopic lobectomy with conventional thoracotomy in the treatment of early-stage peripheral lung cancer. Methods 120 patients with early stage peripheral lung cancer were collected and divided into experimental group (80 cases) and control group (40 cases) according to different operation methods. The patients in the experimental group and the control group were treated by thoracoscopic lobectomy and conventional thoracotomy. Results All patients recovered. The intraoperative blood loss, postoperative hospital stay and chest drainage on the first postoperative day in the experimental group were significantly lower than those in the control group (P <0.05). The postoperative MVV, FVC, FEV1, physiology score, physical function score, somatic pain score and overall health score in the test group were significantly higher than those in the control group Group, the difference was statistically significant (P <0.05). Conclusion Compared with conventional thoracotomy, thoracoscopic lobectomy has the advantages of less trauma and quick recovery, which is beneficial to the recovery of pulmonary function and the quality of life of postoperative patients.