论文部分内容阅读
目的:综合分析全胸腔镜与辅助小切口腔镜在肺癌切除术中的效果,为治疗肺癌患者提供科学的数据参考。方法:选取2011年6月至2015年7月广州市番禺区中心医院收治的60例肺癌患者临床资料,按照入院顺序随机分为全胸腔镜组与辅助小切口腔镜组,每组均为30例。分析两组患者的平均手术时间、平均出血量、平均住院时间、视觉模拟评分、并发症发生率以及C反应蛋白(CRP)变化情况。结果:全胸腔镜组平均住院时间短于辅助小切口腔镜组,差异具有统计学意义(P<0.05),全胸腔镜组平均出血量、引流量少于辅助小切口腔镜组,差异具有统计学意义(P<0.05),全胸腔镜组视觉模拟评分、并发症发生率低于辅助小切口腔镜组,差异具有统计学意义(P<0.05);术后两组患者的CRP均显著升高,辅助小切口腔镜组CRP变化水平显著高于全胸腔镜组,差异具有统计学意义(P<0.05),两组患者平均手术时间比较,差异无统计学意义(P>0.05)。结论:全胸腔镜相比起辅助小切口腔镜在肺癌切除的效果更为显著。
Objective: To analyze the effect of total thoracoscopic and assisted small incision endoscopy in resection of lung cancer and provide scientific data for the treatment of patients with lung cancer. Methods: The clinical data of 60 patients with lung cancer who were admitted to Panyu Central Hospital of Guangzhou City from June 2011 to July 2015 were randomly divided into the total thoracoscopic group and the assistant small incision endoscopic group according to the sequence of admission, and each group was 30 example. The average operation time, mean amount of bleeding, average length of hospital stay, visual analogue scale, complication rate and the change of C-reactive protein (CRP) in both groups were analyzed. Results: The average length of stay in the total thoracoscopic group was shorter than that in the auxiliary small incision endoscopic group (P <0.05). The mean bleeding volume and drainage volume in the total thoracoscopic group were less than those in the auxiliary small incision endoscopic group. The differences were statistically significant (P <0.05). The visual analogue scale and complication rate of the whole thoracoscopic group were lower than those of the assistant small incision endoscopic group (P <0.05). The CRP of the two groups were significant (P <0.05). There was no significant difference in the mean operative time between the two groups (P> 0.05). Conclusion: Thoracoscopic resection of lung cancer is more effective than adjunctive small incision endoscopy.