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目的比较研究胸腔镜以及传统开胸术在非小细胞肺癌的肺叶切除治疗中的临床疗效。方法选择2010年3月～2012年2月在本院确诊为非小细胞肺癌的患者50例,随机分成两组,其中接受胸腔镜下手术的25例患者作为实验组;接受传统开胸手术的25例患者作为对照组。对两组患者在围手术期的不同指标、手术并发症进行对比研究。结果与对照组相比,实验组手术时间长、引流量少、住院时间短、术后并发症少,两组差异均有统计学意义(P<0.05)。结论在胸腔镜的配合下进行非小细胞肺癌的患侧部分肺叶切除术疗效显著高于传统的开胸式手术,术后引流量少、并发症少,可作为临床治疗手段的参考。
Objective To compare the clinical efficacy of thoracoscope and conventional thoracotomy in the treatment of lobectomy for non-small cell lung cancer. Methods 50 patients diagnosed as non-small cell lung cancer in our hospital from March 2010 to February 2012 were randomly divided into two groups, of which 25 patients underwent thoracoscopic surgery as the experimental group. Patients undergoing conventional thoracotomy Twenty-five patients served as control group. The two groups of patients in the perioperative different indicators, surgical complications were compared. Results Compared with the control group, the experimental group had longer operation time, less drainage, shorter hospital stay and fewer postoperative complications. There was significant difference between the two groups (P <0.05). Conclusions The curative effect of ipsilateral lobectomy in non-small cell lung cancer with thoracoscope is significantly higher than that of conventional thoracotomy. There are few postoperative drainage and fewer complications, which can be used as a reference for clinical treatment.