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目的观察全胸腔镜下与开胸肺叶切除术治疗早期肺癌的临床治疗效果。方法 60例早期肺癌患者,随机分为对照组和研究组,各30例。对照组实施开胸肺叶切除术及纵隔淋巴结清除术,研究组实施全胸腔镜肺叶切除术及纵隔淋巴结清除术。对比两组住院时间、术后疼痛评分、术后引流时间以及肺炎发生情况。结果研究组患者的住院时间(9.2±2.5)d和术后引流时间(4.6±1.0)d均短于对照组的(12.8±3.5)d、(5.9±1.3)d(P<0.05)。研究组患者术后疼痛评分(5.1±1.1)分及肺炎发生率3.3%明显低于对照组的(7.9±1.8)分、10.0%(P<0.05)。结论在早期肺癌治疗过程中,应用全胸腔镜下肺叶切除术及纵隔淋巴结清除术,能够有效缩短患者的住院时间和引流时间,降低患者的术后疼痛感,并且避免发生肺炎,值得推广。
Objective To observe the clinical effect of thoracoscopic and thoracotomy lobectomy in the treatment of early stage lung cancer. Methods Sixty patients with early stage lung cancer were randomly divided into control group and study group, with 30 cases in each group. The control group was performed thoracotomy and mediastinal lymph node dissection. The study group underwent thoracoscopic lobectomy and mediastinal lymph node dissection. The length of hospital stay, postoperative pain score, postoperative drainage time, and incidence of pneumonia were compared between the two groups. Results The length of hospital stay (9.2 ± 2.5) days and postoperative drainage time (4.6 ± 1.0) days in the study group were shorter than those in the control group (12.8 ± 3.5) days and (5.9 ± 1.3) days (P <0.05). The postoperative pain score (5.1 ± 1.1) and the incidence of pneumonia in the study group were significantly lower than those in the control group (7.9 ± 1.8) and 10.0% (P <0.05), respectively. Conclusions In the treatment of early stage lung cancer, the application of total thoracoscopic lobectomy and mediastinal lymph node dissection can shorten the hospitalization time and drainage time, reduce postoperative pain and avoid pneumonia, which is worthy of popularization.