中国医学创新2016，Vol.13Issue(33)：16-19,4.DOI:10.3969/j.issn.1674-4985.2016.33.005
胸腔镜肺癌根治术对高龄患者肺功能的影响
The Influence of Pulmonary Function by Thoracoscopic Radical Lobectomy on Elderly Patient with Lung Cancer
伍传新 1江泽勇 1廖洪映 1赵健 1薛兴阳 1周华平 1傅文凡 1戴路 1史晓舜1
作者信息
- 1. 广州医科大学附属肿瘤医院 广东 广州 510095
- 折叠
摘要
Abstract
Objective:To explore the effect of thoracoscopic lobectomy and open thoracotomy lobectomy of the two surgical methods of pulmonary function in patients with non-small cell lung cancer in the elderly. Method:129 cases of elderly non-small cell lung cancer in our hospital from May 2012 to October 2015 were selected,they were divided into two groups,68 patients in laparoscopic group were implemented complete thoracoscopic lobectomy,61 cases in the thoracotomy group were implemented thoracotomy with lobectomy. The operation situations,VC,FEV1,MVV and other pulmonary function indexes of patients before and after operation,and the complications after operation were observed.Result:The blood loss,drainage,duration of analgesia and postoperative hospitalization time in laparoscopic group were better than those of thoracotomy group (P<0.05).Before the operation the VC,FEV1,MVV and other lung function index of two group patients had no statistical significance(P>0.05),and after surgery the difference of decreased pulmony index between two groups has statistical significance(P<0.05).The wound infection,postoperative endoscopic arrhythmia,subcutaneous emphysema,pneumonia,atelectasis and incidence of complications in laparoscopic group were lower than those in thoracotomy group(P<0.05).Conclusion:Thoracoscopic lobectomy compared with lobectomy can reduce the amount of hemorrhage,drainage, pain,shorten the hospitalization time,lung function damage is small,low complication occurance,more suitable for the treatment of advanced non-small cell lung cancer.关键词
肺叶切除术/胸腔镜/开胸/高龄非小细胞肺癌Key words
Lobectomy/Thoracoscopy/Thoracotomy/Elderly patients with non-small cell lung cancer引用本文复制引用
伍传新,江泽勇,廖洪映,赵健,薛兴阳,周华平,傅文凡,戴路,史晓舜..胸腔镜肺癌根治术对高龄患者肺功能的影响[J].中国医学创新,2016,13(33):16-19,4.
