[1]毕 磊,吕忠柱,邓意平,等.电视胸腔镜肺叶切除术治疗老年周围型非小细胞肺癌的疗效[J].医学信息,2021,34(07):6-9,14.[doi:10.3969/j.issn.1006-1959.2021.07.002]
　BI Lei,LYU Zhong-zhu,DENG Yi-ping,et al.Video-assisted Thoracoscopic Lobectomy in the Treatment of Elderly Peripheral Non-small Cell Lung Cancer[J].Medical Information,2021,34(07):6-9,14.[doi:10.3969/j.issn.1006-1959.2021.07.002]
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电视胸腔镜肺叶切除术治疗老年周围型非小细胞肺癌的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年07期
页码:
6-9,14
栏目:
出版日期:
2021-04-01

文章信息/Info

Title:
Video-assisted Thoracoscopic Lobectomy in the Treatment of Elderly Peripheral Non-small Cell Lung Cancer
文章编号:
1006-1959（2021）07-0006-05
作者:
毕 磊; 吕忠柱; 邓意平; 等
（重庆璧山区人民医院胸心外科，重庆 402760）
Author(s):
BI Lei; LYU Zhong-zhu; DENG Yi-ping; et al.
(Department of Thoracic and Cardiovascular Surgery,People’s Hospital of Bishan District,Chongqing 402760,China)
关键词:
电视胸腔镜; 常规开胸手术; 周围型非小细胞肺癌
Keywords:
Video-assisted thoracoscopy; Conventional thoracotomy; Peripheral non-small cell lung cancer
分类号:
R743.2
DOI:
10.3969/j.issn.1006-1959.2021.07.002
文献标志码:
A
摘要:
目的 比较电视胸腔镜（VATS）与常规开放式手术（CT）治疗老年周围型NSCLC的临床效果。方法 选取2013年3月~2015年3月我院收治的183例周围型NSCLC为研究对象，采用数表法随机分为VATS组93例和CT组90例。VATS组采用VATS肺叶切除术治疗，CT组采用开胸手术治疗。比较两组手术时间、出血量等围术期相关指标，并发症发生率及术后疼痛评分及生存情况。结果 两组清扫淋巴结数目和术后引流量比较，差异无统计学意义（P＞0.05）；VATS组手术时间、术中失血量、住院时间均低于CT组，住院费用高于CT组，差异有统计学意义（P＜0.05）；VATS组并发症发生率为8.60%，低于CT组并发症发生率为20.00%，差异有统计学意义（P＜0.05）；VATS组术后前3天VAS评分低于CT组，差异有统计学意义（P＜0.05）；两组术后第4、5天VAS评分比较，差异无统计学意义（P＞0.05）；两组5年生存率无差异（P＞0.05）。结论 VATS在治疗老年周围型NSCLC中与传统开胸手术比较，具有手术时间短、出血少、住院时间短、术后疼痛轻、并发症少的优势，两者清扫淋巴结彻底情况相似。
Abstract:
Objective To compare the clinical effects of video-assisted thoracoscopy (VATS) and conventional open surgery (CT) in the treatment of elderly peripheral NSCLC.Methods 183 cases of peripheral NSCLC admitted to our hospital from March 2013 to March 2015 were selected as the research objects, and were randomly divided into 93 cases in the VATS group and 90 cases in the CT group by the number table method.The VATS group was treated with VATS lobectomy, and the CT group was treated with thoracotomy.The perioperative indicators such as operation time, blood loss, complication rate, postoperative pain score and survival were compared between the two groups.Results There was no statistically significant difference in the number of lymph nodes and postoperative drainage between the two groups (P＞0.05);The operation time, intraoperative blood loss and hospital stay in the VATS group were lower than those in the CT group, The hospitalization cost of CT group was higher than that of CT group,the difference was statistically significant (P＜0.05);The complication rate in the VATS group was 8.60%, which was lower than the complication rate in the CT group, 20.00%, the difference was statistically significant (P＜0.05). The VAS score of the VATS group was lower than that of the CT group in the first 3 days after operation (P＜0.05); there was no significant difference in the VAS score of the two groups in the fourth and fifth days after operation (P＞0.05)There was no difference in the 5-year survival rate between the two groups (P＞0.05).Conclusion Compared with traditional thoracotomy in the treatment of elderly peripheral NSCLC, VATS has the advantages of shorter operation time, less bleeding, shorter hospital stay, less postoperative pain, and fewer complications. The results of thorough lymph node removal are similar.

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更新日期/Last Update: 1900-01-01