早期非小细胞肺癌电视胸腔镜微创手术与常规手术淋巴结清扫的效果比较

目的:探讨早期非小细胞肺癌电视胸腔镜微创手术与常规手术淋巴结清扫的差异。方法:选择2015年1月至2017年2月之间在儋州市人民医院进行治疗的肺癌患者123例,按照患者的治疗方法分为对照组和观察组，对照组患者69例使用常规开胸的手术方法，观察组患者54例使用电视胸腔镜介导下的微创手术和淋巴结清扫，对淋巴结清扫的效果进行对比。结果:两组患者的清扫淋巴结组数、清扫淋巴结个数、N1期淋巴结个数、N1期阳性个数、N2期淋巴结个数、N2期阳性个数数据差异均不具有统计学意义（P＞0.05），观察组患者的淋巴结清扫时间高于对照组患者，手术后引流时间、失血量、住院时间低于对照组患者，数据差异均具有统计学意义（P＜0.05），两组患者在手术后1年之中均未出现肿瘤的局部复发、纵隔淋巴结转移和其他的远处转移。结论:利用电视胸腔镜微创手术对早期非小细胞肺癌患者进行淋巴结清扫，各项指标基本等同于常规开胸手术的效果，但是对患者的创伤更小，值得在临床范围内进行推广。

Comparison of lymph node dissection between video-assisted thoracoscopic minimally invasive surgery and conventional surgery for early non-small cell lung cancer

Objective:To investigate the difference of video-assisted thoracoscopic minimally invasive surgery and conventional lymph node dissection.Methods:123 patients with lung cancer who were treated in Danzhou City People's Hospital from January 2015 to February 2017 were selected.According to the patient's treatment,the patients were divided into the control group and the observation group.In the control group,69 patients underwent routine thoracotomy,and 54 patients in the observation group underwent minimally invasive surgery and lymph node dissection under the guidance of video-assisted thoracoscopic surgery.Compare the effects of lymph node dissection.Results:In the number of resected lymph nodes,lymph node number,N1 number of lymph node positive,N1 number,N2 number of lymph node,the number of N2 positive data,the difference was not statistically significant (P＞0.05).The time of lymph node cleaning in the observation group was higher than that in the control group,and the drainage time,blood loss and hospitalization time were lower than those of the control group,and the difference of the data was statistically significant (P＜0.05).No local recurrence,mediastinal lymph node metastasis and other distant metastases occurred in either group within 1 year after operation.Conclusion:With the use of video-assisted thoracoscopic minimally invasive surgery for early non-small cell lung cancer patients with lymph node dissection,the indicators are basically equivalent to the effect of conventional thoracotomy surgery,but the trauma of patients is smaller,worthy of clinical scope to promote.