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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2024; 8: (4) ; 10.12208/j.ijcr.20240138 .

Clinical results of thoracoscopic lobectomy and conventional thoracotomy for lung cancer
胸腔镜肺叶切除术与常规开胸手术治疗肺癌临床效果

作者: 张亮 *, 郭莎莎, 江磊, 刘作宁

潍坊市中医院 山东潍坊

*通讯作者: 张亮,单位:潍坊市中医院 山东潍坊;

引用本文: 张亮, 郭莎莎, 江磊, 刘作宁 胸腔镜肺叶切除术与常规开胸手术治疗肺癌临床效果[J]. 国际临床研究杂志, 2024; 8: (4) : 22-24.
Published: 2024/4/27 17:54:52

摘要

目的 分析对比肺癌患者采用胸腔镜肺叶切除术与常规开胸手术治疗的临床效果。方法 本次研究中选取2022年1月至2024年1月期间我医院收治的肺癌患者40例,将所有患者采取随机数字表法分成两组,组别为观察组和对照组,每组中有患者20例。对照组患者行常规开胸手术,观察组开展胸腔镜肺叶切除术治疗,详细对比两组最终取得的治疗效果。结果 两组结果比较显示,观察组患者的手术时间、术后引流时间、排气时间、下床活动时间和住院时间均短于对照组,患者术后疼痛程度轻于对照组,术中出血量少于对照组,并发症发生率低于对照组,最终患者肺功能和生活质量改善效果优于对照组,(P<0.05)。结论 对肺癌患者及时采用胸腔镜肺叶切除术治疗,可获得更加理想的治疗效果,减轻患者术后疼痛程度,减少并发症发生,提高患者的预后效果及生活质量。

关键词: 肺癌;胸腔镜肺叶切除术;常规开胸手术;效果分析

Abstract

Objective To analyze and compare the clinical effects of thoracoscopic lobectomy with conventional thoracotomy in patients with lung cancer.
Methods In this study, 40 lung cancer patients admitted to our hospital from January 2022 to January 2024 were selected, and all patients were divided into two groups, including observation group and control group, with 20 patients in each group. The patients in the control group underwent conventional thoracotomy, and the observation group underwent thoracoscopic lobectomy to compare the final treatment results of the two groups in detail.
Results The comparison between the two groups showed that the operation time, postoperative drainage time, exhaust time, activity time and hospital time were shorter than that of the control group of the patients, the postoperative pain was less than that of the control group, the complication rate was lower than that of the control group, and the improvement of lung function and quality of life was better than that of the control group, (P <0.05).
Conclusion   Timely thoracoscopic lobectomy for lung cancer patients can achieve more ideal treatment effect, reduce the postoperative pain, reduce the occurrence of complications, and improve the prognosis and quality of life.

Key words: Lung cancer; Thoracoscopic lobectomy; Conventional thoracotomy; Effect analysis

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