| 冯征 孙盈 陈召 王居正 王武平 张继朋 卢强.两孔、三孔胸腔镜与传统开胸手术肺叶切除联合系统性淋巴结清扫手术治疗肺癌的疗效观察[J].,2017,17(2):304-307 |
| 两孔、三孔胸腔镜与传统开胸手术肺叶切除联合系统性淋巴结清扫手术治疗肺癌的疗效观察 |
| The Curative Effects of Two Holes, Three Holes VAMT and TraditionalPulmonary Lobectomy combined with Lymph Node Cleaning Systematicallyon Patients with Lung Cancer |
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| DOI： |
| 中文关键词: 两孔 胸腔镜 肺癌 淋巴清除 |
| 英文关键词: Two holes VAMT Lung cancer Lymph node cleaning |
| 基金项目:国家自然科学基金项目(81172224) |
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| 中文摘要: |
| 目的：探讨两孔、三孔胸腔镜与传统肺叶切除联合系统性淋巴结清扫手术治疗肺癌的临床效果。方法：选择2015 年1 月～
2016 年1 月在我院接受肺叶切除的肺癌患者110 例，根据VATS 肺叶切除技术不同将其分为A(48 人)、B(62 人)两组，另选取
2008-2010 在我院接受传统后外侧开胸肺叶切除患者49 例作为C 组，比较3 组手术时间、出血量、输血量、清扫淋巴结数和站数、
胸腔引流时间、术后前3 天引流量、术后住院时间及并发症发生情况等。结果：①三组患者手术时间和前三天总引流量无统计学
意义(P＞0.05)，而输血量、出血量、胸管留置时间以及术后住院时间差异均具有统计学意义(P＜0.05)，且A 组患者各项参数均明
显优于B、C组；②三组在淋巴结清扫数和清扫站数、N2 淋巴结清扫数和清扫站数、淋巴结分期情况差异均无统计学意义(P＞
0.05)；③N1 和N2 期患者中，A 组患者的住院时间最短、出血量最小，三组患者差异具有统计学意义(P＜0.05)，其他各项如手术时
间、术后3 天总引流量、清扫淋巴结数和站数、病理阳性淋巴结数和站数差异均无统计学差异(P＞0.05)。结论：两孔胸腔镜肺叶切
除及系统性淋巴结清扫手术对于肺癌患者的治疗效果与三孔法同样安全有效，并且能相对减少降低机体损伤，便于患者术后恢
复。 |
| 英文摘要: |
| Objective:To explore curative effects of two holes, three holes VAMT and traditional pulmonary lobectomy with
lymph node cleaning systematically on patients with lung cancer.Methods:From January 2015 to January 2016, 110 patients with lung
cancer in our hospital were divided into 2 groups(Group A-two holes VAMT, Group B-three holes VAMT), and another 49 patients were
group C with traditional operation.The operation time, blood loss, blood transfusion, cleaning the lymph node number and number of
station, chest drainage time, seroma volume of drainage after 3 days of surgery, postoperative hospital stayand complications were
compared among three groups.Results:① The amount of blood transfusion, blood loss, chest tube indwelling time and postoperative
hospital stay were statistical different (P＜0.05) and patients in group A were the best, but the time of operation and seroma volume of
drainage after 3 days of surgery were not statistically different (P＞0.05); ② The number of lymph node cleaning and station number,
N2lymph node cleaning and station number, lymph node staging were not statistically different (P＞0.05); ③ In N1 and N2 patients,
hospital stay and blood loss were statistical different (P＜0.05) and patients in group A were the best, but the operation time, seroma
volume of drainage after 3 days of surgery,the number of lymph node cleaning and station number, pathological positive lymph node
number and station number were not statistically different (P＞0.05).Conclusion:The curative effects of two holes VAMT and lymph
node cleaning systematically on patients with lung cancer are as safe as three holes VAMT,and this method can reduce body damage,
which is good for postoperative recovery. |
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