Analysis of the Effect of Phase Ⅰ Non-small-cell Lung Cancer Microwave Ablation and Thoracoscopic Segmental Lung Resectiorv
Objective:To explore and compare the therapeutic effect of CT guided microwave ablation and thoracoscopic segmental lung resection for stage Ⅰ non-small cell lung cancer.Methods:62 patients with Phase Ⅰ non-small cell lung cancer who visited Qingdao Eighth People's Hospital from January 2020 to January 2021 were collected,including 30 patients in the ablation group(CT guided percutaneous microwave ablation)and 32 patients in the thoracoscopic group(thoracoscopic segmental resection of lung).The short-term curative effect,operation time,intraoperative bleeding,hospitalization time,hospitalization cost,the incidence of postoperative complications and the recurrence rate of the tumor 1 year after follow-up appointment between the two groups were compared for a case-control study.Results:Patients in both groups successfully completed the surgery,and the operation time,intraoperative blood loss,hospital stay and hospital cost in the ablation group were lower than those in the thoracoscopic group,with statistical significance(t=9.305,10.843,11.843,21.065;P＜0.05).Lung tumor recurrence occurred in 1 patient in the ablation group,while no lung tumor recurrence was observed in the thoracoscopic group.Conclusion:Under the premise of strict screening of surgical indications,microwave ablation of stage Ⅰ non-small cell lung cancer has the advantages of less trauma,faster recovery and shorter hospitalization time than thoracoscopic segmental resection.The comprehensive treatment effect is obviously better than that of thoracoscopic segmental pneumonectomy.
万方数据
维普
