摘要
Abstract
Objective To compare and analyze the effect of thoracoscopic segmentectomy and lobectomy on lung function of lung cancer patients.Methods The data of 1 13 patients with lung cancer who received thoracoscopic 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 cases 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 respective-ly,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 FEV1%,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).Conclu-sion 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.关键词
胸腔镜/肺段切除术/肺叶切除术/肺癌/肺功能Key words
thoracoscope/lung resection surgery/pulmonary lokectomy/lung cancer/pulmonary function分类
医药卫生
