胸腔镜肺叶切除手术治疗肺癌的临床研究（附63例分析）

目的 研究肺癌疾病患者应用单向式全胸腔镜肺叶切除手术治疗的可行性.方法 筛选在我科治疗的126例肺癌患者病历资料.胸腔镜组63例患者行单向式全胸腔镜肺叶切除术治疗,开胸组63例患者传统开胸肺叶切除术.结果 126例患者均顺利完成手术.在术中失血量、术后胸腔引流量、切口疼痛评分、术后住院时间及术后并发症的发生情况上,胸腔镜组明显低于开胸组（P＜0.05）,在平均手术时间和1年无瘤生存率比较,差异无统计学意义（P＞0.05）.结论 单向式全胸腔镜肺叶切除术是一种安全性和有效性都较高,并且操作简便,易于临床推广.

Clinical study of thoracoscopic lobectomy in the treatment of lung cancer

Objective To study lung disease application of the one-way-assisted thoraeoseopie surgery lobectomy feasibility and safety analysis. Methods The clinical data of 126 patients with lung cancer were retrospectively analyzed. They were randomly divided into the thoraeoscope group （ n = 63 ） and the thoracotomy group （ n = 63 ）. The thoracoseope group was given unidirectional fully thoraco- scopie lobeetomy, and the thoracotomy group was given traditional thoracotomy lobeetomy. Results 126 patients were all suceessfully op- erated. The improvement of intraoperative blood loss, postoperative pleural cited traffic, incision pain scores, postoperative hospital stay, and postoperative complications was more pronounced in the thoracoscope group than in the thoracotomy group （P 〈 0. 05 ）. There was no significant difference on average surgery time and 1-year free survival rates （ P 〉 0. 05 ）. Conclusion unidirectional thoracoseopie lobectomy is a safe and effective and easy to operate, easy to clinical practice.