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目的比较肺癌腋下小切口肺癌根治术与标准后外侧切口肺癌根治术的效果。方法选择2008年6月-2009年6月92例肺癌患者随机分为两组,观察组46例患者采用腋下小切口肺癌根治术,对照组46例患者采用标准后外侧切口肺癌根治术,观察两组患者平均手术时间、平均开胸时间、平均关胸时间、术中出血量及患者3年生存率。结果观察组平均手术时间、平均开胸时间、平均关胸时间明显短于对照组,术中出血量明显少于对照组,两组比较差异有统计学意义(P<0.05)。两种根治术患者1～3年生存率,两组比较差异无统计学意义(P>0.05)。结论两种根治术治疗后患者远期效果相当,但腋下小切口肺癌根治术创伤明显小于标准后外侧切口肺癌根治术,但要严格掌握手术适应症才能取得预期的效果。
Objective To compare the efficacy of radical mastectomy with minimally invasive axillary lung cancer and standard posterolateral radical mastectomy for lung cancer. Methods Ninety-two patients with lung cancer from June 2008 to June 2009 were randomly divided into two groups. In the observation group, 46 patients underwent radical axillary incision with minimally invasive radical resection of lung cancer and 46 patients in the control group received standard posterolateral radical resection of lung cancer. The average operation time, average thoracotomy time, average duration of thoracotomy, intraoperative blood loss and patients’ 3-year survival rate were compared between the two groups. Results The average operation time, average thoracotomy time and average duration of closed chest operation in observation group were significantly shorter than those in control group. The blood loss in operation group was significantly less than that in control group. There was significant difference between the two groups (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusions The long-term effect of the two kinds of radical mastectomy is similar, but the minimally invasive axillary incision of lung cancer is much less than the standard posterior lateral lung cancer radical mastectomy. However, surgical indications should be strictly controlled to achieve the desired effect.