老年医学与保健2017,Vol.23Issue(5):431-433,3.
电视胸腔镜肺叶切除术治疗老年早期非小细胞肺癌的临床观察
Clinical Observation of Video-assisted Thoracoscopic Surgery for the Elderly with Early Non-small Cell Lung Cancer
曲峻锋 1常浩 1廖飞 1赵智宏 1王巨1
作者信息
- 1. 哈尔滨医科大学附属第一医院胸外科,黑龙江哈尔滨150001
- 折叠
摘要
Abstract
Objective To explore the effect of video-assisted thoracoscopic surgery (VATS) on the elderly with early non-small cell lung cancer (NSCLC).Methods 69 elderly with early non-small cell lung cancer were selected and divided into 2 groups:observation group (n=35,VATS was performed) and control group (n=34,conventional open lobectomy was performed);observation was made to the surgical performance,postoperative recovery,occurrence of complications and the changes of carcinoembryonic antigen (CEA) of the elderly in both groups and a comparative study was made between the 2 groups.Results There existed no difference of statistical significance in operation time length and the numbers of lymph nodes removed between the 2 groups (P>0.05);the blood loss volume in operation in observation group was much smaller than that in control group (P<0.05);the of the chest tube indwelling time,off-bed activity time and hospitalization duration in observation group were shorter than those in control group (P<0.01);the level of postoperative CEA in observation group was lower than that in control group and the difference was of statistical significance (P < 0.05);the occurrence of complications in observation group was 5.71%,much lower than that in control group (26.47 %) (P < 0.05).Conclusions VATS is of better curative effect on the elderly with early non-small cell lung cance,and it is of certain application value.关键词
老年/非小细胞肺癌/电视胸腔镜肺叶切除术/术后康复/癌胚抗原Key words
elderly/non-small cell lung cancer/video-assisted thoracoscopic surgery (VATS)/postoperative recovery/carcinoembryonic antigen (CEA)引用本文复制引用
曲峻锋,常浩,廖飞,赵智宏,王巨..电视胸腔镜肺叶切除术治疗老年早期非小细胞肺癌的临床观察[J].老年医学与保健,2017,23(5):431-433,3.