胸腔镜联合加速康复外科流程在小细胞肺癌开胸手术中应用的临床研究

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目的探讨胸腔镜联合加速康复外科流程(FTS)在小细胞肺癌手术中应用的临床效果。方法 100例小细胞肺癌根治手术的患者,将其随机分为观察组(55例)及对照组(45例)。对照组采取单纯胸腔镜辅助开胸,观察组采取胸腔镜联合加速康复外科流程治疗模式进行治疗,对比两组患者的术后并发症情况以及住院费用、住院时间、术后出血量等情况。结果观察组术后并发症的发生率为7.27%,明显低于对照组术后的并发症发生率26.67%,差异有统计学意义(P<0.05)。观察组患者的平均住院时间明显短于对照组,住院治疗费用明显少于对照组,术后的出血量也明显少于对照组,两组差异具有统计学意义(P<0.05)。结论胸腔镜联合加速康复外科流程可缩短术后住院时间,减少住院费用,减轻患者的负担,提高患者的恢复速度,值得临床上的进一步推广及使用。 Objective To investigate the clinical effect of thoracoscope combined with accelerated surgical procedures (FTS) in small cell lung cancer surgery. Methods 100 patients with small cell lung cancer who underwent radical surgery were randomly divided into observation group (55 cases) and control group (45 cases). The control group was treated with simple thoracoscopy assisted thoracotomy. The observation group was treated by thoracoscope combined with accelerated surgical treatment. The postoperative complications, hospitalization costs, length of hospital stay and postoperative bleeding were compared between the two groups. Results The incidence of postoperative complications in the observation group was 7.27%, which was significantly lower than that in the control group (26.67%), the difference was statistically significant (P <0.05). The average length of stay in the observation group was significantly shorter than that in the control group. The cost of hospitalization was significantly less than that in the control group. The postoperative bleeding volume was also significantly less than that in the control group. There was significant difference between the two groups (P <0.05). Conclusion Thoracoscopic surgery combined with accelerated surgical procedures can shorten the postoperative hospital stay, reduce hospitalization costs, reduce the burden on patients and improve the recovery rate of patients, it is worth further clinical promotion and use.
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