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目的探讨全胸腔镜肺叶肺段切除术治疗早期老年非小细胞肺癌患者的疗效。方法选取2013年1月至2015年6月间大连市中心医院收治的60例早期老年非小细胞肺癌患者根据入院时间先后顺序分为观察组和对照组,每组30例。观察组患者采用电视全胸腔镜肺叶肺段切除术,对照组患者采用传统开胸肺叶切除术。比较两组患者围手术期及术后相关指标变化。结果围手术期间,两组患者均顺利完成手术且无死亡病例,观察组患者切口长度、术后相关指标的改善情况及住院时间等均明显优于对照组患者,差异有统计学意义(P<0.05)。两组患者淋巴结清扫、术中出血量、手术时间及住院总费用比较,差异无统计学意义(P>0.05)。观察组术后各项实验室指标的改善情况优于对照组,差异有统计学意义(P<0.05)。结论对早期老年非小细胞肺癌患者行电视全胸腔镜肺叶肺段切除术治疗,其临床治疗效果显著,且安全性相对较高。
Objective To investigate the effect of total thoracoscopic lobectomy for the treatment of early-stage non-small cell lung cancer in elderly patients. Methods Sixty elderly patients with early-stage non-small cell lung cancer who were admitted to Dalian Central Hospital from January 2013 to June 2015 were divided into observation group and control group according to the order of admission, with 30 cases in each group. Patients in the observation group were treated with video-assisted thoracoscopic lobectomy, while those in the control group were treated by conventional thoracotomy. Perioperative and postoperative related indicators were compared between the two groups. Results During the perioperative period, both patients were successfully operated without any deaths. The incision length, postoperative improvement of related indexes and hospital stay in the two groups were significantly better than those in the control group (P < 0.05). There was no significant difference between the two groups in lymph node dissection, intraoperative blood loss, operation time and total cost of hospitalization (P> 0.05). The observation group after the improvement of various laboratory indicators better than the control group, the difference was statistically significant (P <0.05). Conclusion The treatment of early-stage non-small cell lung cancer in patients undergoing video-assisted thoracoscopic lobectomy for lung lobectomy has significant clinical effect and relatively high safety.