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目的:比较电视胸腔镜与传统开胸手术治疗早期周围型肺癌的临床效果。方法:选取早期周围型肺癌患者60例,随机分为观察组和对照组,观察两组患者治疗效果。结果:观察组手术时间明显高于对照组,差异有统计学意义(P<0.05);术中出血量、胸管滞留时间、术后疼痛评分明显低于对照组,差异有统计学意义(P<0.05);淋巴结清扫个数两组间差异无统计学意义(P>0.05);两组患者并发症发生率差异无统计学意义(P>0.05)。结论:电视胸腔镜治疗早期周围型肺癌具有创伤小,患者术中出血少,术后恢复快等特点,因此值得在临床上推广应用。
Objective: To compare the clinical efficacy of video-assisted thoracoscopy and conventional thoracotomy in the treatment of early-stage peripheral lung cancer. Methods: Sixty patients with early-stage peripheral lung cancer were selected and randomly divided into observation group and control group. The therapeutic effect was observed in both groups. Results: The operation time in the observation group was significantly higher than that in the control group (P <0.05). The intraoperative blood loss, chest tube retention time and postoperative pain score were significantly lower than those in the control group (P <0.05). There was no significant difference in the number of lymph node dissection between the two groups (P> 0.05). There was no significant difference in the incidence of complications between the two groups (P> 0.05). Conclusion: Video-assisted thoracoscopic treatment of early-stage peripheral lung cancer has the advantages of less trauma, less intraoperative bleeding and rapid postoperative recovery. Therefore, it is worthy of clinical application.