完全电视胸腔镜技术在肺癌根治术中的效果和安全性分析

目的:探讨分析应用完全电视胸腔镜技术(VATS)在肺癌根治术中的临床效果与治疗安全性。方法:选择我院于2015年10月~2018年10月收治的100例肺癌患者为研究观察对象,应用数字随机表法将所有患者分为两组,即对照组(n=50)与观察组(n=50),对照组中患者行常规开胸肺叶切除根治术治疗,观察组患者则行VATS根治术治疗,对比观察两组患者在采用不同方式治疗后的临床手术情况、淋巴结清扫及手术安全性。结果:两组性别、年龄、病理类型及TNM分期数据对比差异不大,组间比较差异无统计学意义(P>0.05),两组患者术前CEA水平比较,差异有统计学意义(P<0.05);其中观察组患者经治疗后,其术中出血量、手术时间、术后胸腔引流时间及住院时间更短于对照组,术后并发症发生率相比较对照组降低;且观察组中患者术后淋巴结转移阳性率、术后第3天与术后第7天VAS疼痛评分均相较于对照组降低,两组相比差异有统计学意义(P<0.05);但两组术中淋巴结清扫率及术后一年肿瘤复发情况和发生远处转移情况差异无统计学意义(P>0.05)。结论:对肺癌患者行VATS根治术治疗,能明显提高临床疗效,降低术后并发症发生,缩短患者住院时间,可将其推广应用在临床中。

The effect and safety of complete video-assisted thoracoscopic surgery in radical mastectomy

Objective:To investigate the clinical effect and safety of VATS in radical resection of lung cancer.Methods:100 patients with lung cancer admitted to our hospital from October 2015 to October 2018 were selected as the research objects.All patients were divided into two groups by using the method of digital random table:control group(n=50)and observation group(n=50).Patients in the control group were treated with routine thoracotomy and radical lobectomy,while patients in the observation group were treated with VATS radical operation.The difference between the two groups was observed.The clinical operation condition,lymph node dissection and operation safety after treatment were analyzed.Results:There was little difference in gender,age,pathological type,and TNM staging data between the two groups.There was no statistically significant difference between the two groups(P>0.05).The preoperative CEA level of the two groups was compared with statistical significance(P<0.05);After treatment,patients in the observation group had shorter intraoperative blood loss,operation time,postoperative thoracic drainage time,and hospital stay than the control group,and the incidence of postoperative complications was lower than that of the control group;and the observation group patients had surgery The positive rate of posterior lymph node metastasis and the VAS pain score on the 3rd and 7th day after the operation were lower than those of the control group.The difference between the two groups was statistically significant(P<0.05);however,the two groups were dissected during the operation.There was no statistically significant difference in the rate of tumor recurrence and the occurrence of distant metastasis one year after surgery(P>0.05).Conclusion:VATS radical resection for lung cancer patients can significantly improve the clinical efficacy,reduce the incidence of postoperative complications,shorten the hospitalization time of patients,and can be extended to clinical application.