首页|研究胸腔镜肺癌根治术在老年非小细胞肺癌临床治疗中的应用

研究胸腔镜肺癌根治术在老年非小细胞肺癌临床治疗中的应用

扫码查看
目的 分析老年非小细胞肺癌(Nonsmall Cell Lung Cancer,NSCLC)患者采取胸腔镜下肺癌根治术治疗的临床疗效以及对患者预后恢复产生的影响.方法 方便选取2020年11月—2021年11月临沂市肿瘤医院胸外科收治的75例NSCLC患者为研究对象,依据不同手术方法将其划分为腔镜组(n=38,胸腔镜下肺癌根治术治疗)和开胸组(n=37,传统开胸肺癌根治术治疗).对两组患者的手术相关指标、并发症发生情况、生活质量水平以及肺功能改善情况进行对比.结果 两组患者淋巴清扫数量比较,差异无统计学意义(P>0.05);腔镜组患者的术后引流时间、术后镇痛时间和住院时间均短于开胸组,差异有统计学意义(P均<0.05);腔镜组患者术后1个月和3个月的生活质量评分、用力肺活量、第一秒用力呼气量水平均明显优于开胸组,差异有统计学意义(P均<0.05);腔镜组并发症发生率(2.63%)明显低于开胸组的(21.62%),差异有统计学意义(χ2=4.730,P<0.05).结论 老年NSCLC患者采取胸腔镜下肺癌根治术治疗的临床确切,能有效降低并发症发生率,加速患者预后恢复,有创伤小、恢复快优势.
Application of Thoracoscopic Radical Resection of Lung Cancer in the Clinical Treatment of Senile Non-small Cell Lung Cancer
Objective To analyze the clinical efficacy of thoracoscopic radical resection of lung cancer in elderly pa-tients with Nonsmall Cell Lung Cancer(NSCLC)and its influence on the prognosis of patients.Methods A total of 75 patients with NSCLC admitted to the Department of Thoracic Surgery of Linyi Cancer Hospital from November 2020 to November 2021 were conveniently selected as the research objects.According to different surgical methods,they were divided into the endoscopic group(n=38,thoracoscopic radical resection of lung cancer)and the thoracotomy group(n= 37,traditional open radical resection of lung cancer).The surgery-related indicators,complications,quality of life and pulmonary function improvement of the two groups were compared.Results There was no significant difference in the number of lymph node dissection between the two groups(P>0.05);the postoperative drainage time,postoperative an-algesia time and hospitalization time of the endoscopic group were shorter than those of the thoracotomy group,and the differences were statistically significant(all P<0.05);the quality of life score,forced vital capacity and forced expira-tory volume in 1 second in the endoscopic group were significantly higher than those in the thoracotomy group at 1 month and 3 months after surgery,and the differences were statistically significant(all P<0.05);the incidence of com-plications in the endoscopic group(2.63%)was significantly lower than that in the thoracotomy group(21.62%),and the difference was statistically significant(χ2=4.730,P<0.05).Conclusion Thoracoscopic radical resection of lung can-cer in elderly patients with NSCLC is clinically accurate,which can effectively reduce the incidence of complications,accelerate the recovery of patients'prognosis,and has the advantages of less trauma and rapid recovery.

ThoracoscopeRadical resection of lung cancerElderlyNon-small cell lung cancerSurvival situation

高晓旭

展开 >

临沂市肿瘤医院胸外科,山东临沂 276000

胸腔镜 肺癌根治术 老年 非小细胞肺癌 生存情况

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(3)
  • 15