Clinical Effects of Thoracoscopic Minimally Invasive Surgery and Traditional Thoracotomy Surgery in the Treatment of Non-small Cell Lung Cancer Patients
Objective:To analyze the clinical value of thoracoscopic minimally invasive surgery and traditional thoracotomy surgery in the treatment of non-small cell lung cancer patients.Method:The clinical data of 68 patients with non-small cell lung cancer who admitted to Junan County People's Hospital from June 2017 to June 2023 were retrospectively analyzed,the patients were divided into study group(thoracoscopic minimally invasive surgery)and reference group(traditional thoracotomy surgery)according to different treatment methods,34 cases in each group.The perioperative indexes,cardiopulmonary function indexes,inflammatory indexes and complications were compared between the two groups.Result:The operation time,postoperative drainage time and hospitalization days of the study group were shorter than those of the reference group,and the intraoperative blood loss was less than that of the reference group,the differences were statistically significant(P<0.05);there was no significant difference in the number of lymph node dissection between two groups(P>0.05).There were no significant differences in the cardiopulmonary function indexes between two groups before surgery(P>0.05);the heart rate,maximal voluntary ventilation(MVV)and forced expiratory volume in one second(FEV1)in the study group after surgery were higher than those in the reference group,and the differences were statistically significant(P<0.05).There were no significant differences in the inflammatory indexes between two groups before surgery(P>0.05);the levels of C-reactive protein(CRP)and interleukin-6(IL-6)in the study group after surgery were lower than those in the reference group,and the level of interleukin-12(IL-12)was higher than that in the reference group,the differences were statistically significant(P<0.05).There was no significant difference in the visual analogue scale(VAS)score between two groups before surgery(P>0.05);the VAS scores of the study group at 12 h,24 h and 72 h after surgery were lower than those of the reference group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion:The effect of thoracoscopic minimally invasive surgery in patients with non-small cell lung cancer is better than that of traditional thoracotomy,it not only improves cardiopulmonary function,but also reduces the incidence of complications,relieves pain,and shortens the operation time and hospitalization days.
国家科技期刊平台
NSTL
万方数据
维普
