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目的:探讨微创技术在肺部肿瘤手术中的临床应用价值。方法:采用电视电视胸腔镜微创切口(VATS)和经肋间微创肌肉非损伤性手术(MST)对175例肺部肿瘤患者进行了手术治疗,并选择同期行标准后外侧切口的肺癌手术患者72例作对照,比较电视胸腔镜微创切口和经肋间微创切口以及其与标准后外侧切口肺癌手术之间的优劣。记录手术切口的长度、手术时间、术中淋巴结清扫情况、术中出血量、术后住院天数和术后胸腔引流量及留置时间。结果:电视胸腔镜手术(VATS)组、经肋间微创肌肉非损伤性手术(MST)组的术中出血、切口长度、胸管留置时间、胸腔引流量、开关胸时间、术后住院时间、术后度冷丁用量及下床活动时间均少于标准后外侧切口手术,差异有统计学意义(p<0.05),手术时间、术中出血量、清扫淋巴结数、术后并发症比较差异均无统计学意义(p>0.05)。结论:微创技术具有创伤小、失血少、恢复快、生活质量高、疗效确切、安全可靠的优点。
Objective: To investigate the clinical value of minimally invasive surgery in lung cancer surgery. Methods: Totally 175 patients with lung cancer underwent minimally invasive surgery (VATS) and minimally invasive non-invasive muscle intercostal surgery (MST) for the treatment of lung cancer, and the same period of the standard posterolateral incision for lung cancer surgery 72 patients as a control, compare the video-assisted thoracoscopic minimally invasive incision and minimally invasive incision through the intercostal and its advantages and disadvantages with standard posterior lateral lung cancer surgery. The length of the surgical incision, operation time, lymph node dissection, intraoperative blood loss, postoperative hospital stay and postoperative chest drainage and retention time were recorded. Results: In the VATS group, intraoperative bleeding, incision length, chest tube indwelling time, chest drainage, chest opening and closing time, postoperative hospital stay (P <0.05). The time of operation, the amount of bleeding during operation, the number of lymph nodes dissected and the postoperative complication were all significantly lower than those of standard posterior lateral incision No statistical significance (p> 0.05). Conclusion: The minimally invasive technique has the advantages of less trauma, less blood loss, faster recovery, higher quality of life, exact curative effect and safety.