摘要
目的对比分析胸腔镜下肺段切除术与肺叶切除术对肺癌患者肺功能的影响。方法回顾性分析本院2013年4月至2015年1月采取完全胸腔镜下手术治疗的113例肺癌患者临床资料,将51例采取肺段切除术治疗的患者作为肺段切除组(切除肺段小于3),62例采用肺叶切除术治疗的患者作为肺叶切除组,比较2组患者的手术效果及手术前后患者肺功能变化情况。结果肺段切除组患者的术中出血量、引流时间、引流量及住院时间分别为(69.4±13.0)m L、(3.5±0.7)d、(584.3±51.7)m L和(9.4±2.5)d,均低于肺叶切除组,差异有统计学意义(P<0.05);肺段切除组住院费用(47 812.5±2 681.4)元少于肺叶切除组,差异有统计学意义(P<0.05)。术后6个月,肺段切除组无患者死亡,肺叶切除组有1例患者死亡;肺段切除组的肺功能指标FEV1%、FVC%及MVV%分别为(87.6±9.4)、(86.8±10.2)及(82.5±8.7),均高于肺叶切除组,差异均具有统计学意义(P<0.05)。结论胸腔镜下肺段切除术较肺叶切除术具有手术创伤小、术后恢复快、患者肺功能损伤程度小的优势。
Objective To compare and analyze the effect of thoracoscopic segmentectomy and lobectomy on lung function of lung cancer patients. Methods The data of 113 patients with lung cancer who received thoracoseopic surgical treatment in our hospital from April 2013 to January 2015 were retrospectively analyzed. Of which 51 cases treated by lung segment resection were lung resection group （ resection of pulmonary segments 〈 3 ） ,62 eases received lobectomy were lobectomy group. The operation effect of the two groups and the changes of pul- monary function before and after operation were compared. Results The amount of bleeding, drainage duration, volume of drainage and hospi- tal stays of patients in lung resection group were （ 69.4 ±13.0 ） mL, （ 3.5±0.7 ） days, （584.3±51.7 ） mL and （9.4 ± 2.5 ） days respectively,which were all lower than those of lobectomy group, the differences were statistically significant （P 〈 0.05 ）. The hospitalization costs （47 812.5±2 681.4） yuan in lung resection group was less than that in lobectomy group, the difference was statistically significant （P 〈 0.05）. There was no patients died in lung resection group during postoperative 6 months, while 1 case in lobectomy group died. After 6 months,The lung function index included FEVI% ,FVC% ,MVV% of patients in lung resection group were （87.6±9.4）, （86.8±10.2）, （82.5± 8.7 ） respectively, were higher than those in lobectomy group, and the differences were statistically significant （P 〈 0.05 ）. Conclusion Compared with lobectomy, thoracoscopic lung segment resection has the advantages of small surgical trauma, faster postoperative recovery and small postoperative lung function damage for patients.
出处
《局解手术学杂志》
2016年第12期887-890,共4页
Journal of Regional Anatomy and Operative Surgery
关键词
胸腔镜
肺段切除术
肺叶切除术
肺癌
肺功能
thoracoscope
lung resection surgery
pulmonary lokectomy
lung cancer
pulmonary function
