摘要
目的分析老年非小细胞肺癌(Nonsmall Cell Lung Cancer,NSCLC)患者采取胸腔镜下肺癌根治术治疗的临床疗效以及对患者预后恢复产生的影响。方法方便选取2020年11月—2021年11月临沂市肿瘤医院胸外科收治的75例NSCLC患者为研究对象,依据不同手术方法将其划分为腔镜组(n=38,胸腔镜下肺癌根治术治疗)和开胸组(n=37,传统开胸肺癌根治术治疗)。对两组患者的手术相关指标、并发症发生情况、生活质量水平以及肺功能改善情况进行对比。结果两组患者淋巴清扫数量比较,差异无统计学意义(P>0.05);腔镜组患者的术后引流时间、术后镇痛时间和住院时间均短于开胸组,差异有统计学意义(P均<0.05);腔镜组患者术后1个月和3个月的生活质量评分、用力肺活量、第一秒用力呼气量水平均明显优于开胸组,差异有统计学意义(P均<0.05);腔镜组并发症发生率(2.63%)明显低于开胸组的(21.62%),差异有统计学意义(χ^(2)=4.730,P<0.05)。结论老年NSCLC患者采取胸腔镜下肺癌根治术治疗的临床确切,能有效降低并发症发生率,加速患者预后恢复,有创伤小、恢复快优势。
Objective To analyze the clinical efficacy of thoracoscopic radical resection of lung cancer in elderly patients with Nonsmall Cell Lung Cancer(NSCLC)and its influence on the prognosis of patients.Methods A total of 75 patients with NSCLC admitted to the Department of Thoracic Surgery of Linyi Cancer Hospital from November 2020 to November 2021 were conveniently selected as the research objects.According to different surgical methods,they were divided into the endoscopic group(n=38,thoracoscopic radical resection of lung cancer)and the thoracotomy group(n=37,traditional open radical resection of lung cancer).The surgery-related indicators,complications,quality of life and pulmonary function improvement of the two groups were compared.Results There was no significant difference in the number of lymph node dissection between the two groups(P>0.05);the postoperative drainage time,postoperative analgesia time and hospitalization time of the endoscopic group were shorter than those of the thoracotomy group,and the differences were statistically significant(all P<0.05);the quality of life score,forced vital capacity and forced expiratory volume in 1 second in the endoscopic group were significantly higher than those in the thoracotomy group at 1 month and 3 months after surgery,and the differences were statistically significant(all P<0.05);the incidence of complications in the endoscopic group(2.63%)was significantly lower than that in the thoracotomy group(21.62%),and the difference was statistically significant(χ^(2)=4.730,P<0.05).Conclusion Thoracoscopic radical resection of lung cancer in elderly patients with NSCLC is clinically accurate,which can effectively reduce the incidence of complications,accelerate the recovery of patients'prognosis,and has the advantages of less trauma and rapid recovery.
作者
高晓旭
GAO Xiaoxu(Department of Thoracic Surgery,Linyi Cancer Hospital,Linyi,Shandong Province,276000 China)
出处
《中外医疗》
2024年第3期55-58,共4页
China & Foreign Medical Treatment
关键词
胸腔镜
肺癌根治术
老年
非小细胞肺癌
生存情况
Thoracoscope
Radical resection of lung cancer
Elderly
Non-small cell lung cancer
Survival situation
作者简介
高晓旭(1971-),男,本科,副主任医师,研究方向为胸外科。
