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全胸腔镜下肺叶切除淋巴结清扫手术的安全性及应用价值

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目的:研究全胸腔镜下肺叶切除淋巴结清扫手术的安全性以及其应用价值。方法:选取2010年3月到2011年3月我院收治的全胸腔镜肺叶切除淋巴结清扫术肺癌患者为研究组(90例),另选取开放肺叶切除术联合淋巴结清扫术患者为对照组(90例),两组患者均术后随访3年,比较两组患者的手术时间、术中出血量、术后并发症、术后引流量、术后住院时间、3年生存率。结果:两组均手术成功,研究组手术时间、术中出血量、术后引流量以及术后住院时间均显著优于对照组,两组比较差异具有统计学意义(P<0.05);研究组术后并发症的发生率显著少于对照组,两组比较差异具有统计学意义(P<0.05),两组3年生存率比较无统计学意义(P>0.05)。结论:全胸腔镜下肺叶切除淋巴结清扫安全可靠,具有较好的临床效果,术后并发症少,患者恢复快。
Safety and application value oflobectomylymph node dissectionoperation under total thoracoscopic
To study the safety and application value of lobectomy lymph node dissection operation under total thoracoscopic.Methods: The patients with lung cancer who used complete video-assisted thoracoscopic lobectomy lymph node resection in March 2010 to March 2011 in our hospital were as the study group (90 cases), the patients who used open lobectomy combined with lymphadenectomy were as the control group (90 cases), two groups of patients were folowed up 3 years after surgery, operation time, intraoperative bleeding volume, postoperative complications, postoperative drainage, postoperative hospital stay, the 3 year survival rate of two groups of patients were compared.Results:The two groups got successful operation, the operation time, intraoperative bleeding volume, postoperative drainage, postoperative hospital stay of the study group were significantly beter than the control group, with statisticaly significant difference between the two groups (P<0.05); The incidence of postoperative complications of the study group was significantly lower than the control group, with significant difference the two group (P<0.05), 3 years survival rate of the two groups showed no statistical significance (P>0.05).Conclusion: Video assisted thoracoscopic lobectomy lymph node dissection is safe and reliable, which has a good clinical effect, fewer complications that patients can recover quickly.

total thoracoscopiclobectomy lymph node dissection operationsafetyapplication valueopen lobectomy

王澄

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即墨市人民医院胸外科 266200

全胸腔镜 肺叶切除淋巴结清扫手术 安全性 应用价值 开放肺叶切除术

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(7)
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