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目的研究实行小切口开胸术治疗肺癌的临床效果。方法 54例肺癌患者,采用随机数字表法分为参照组与实验组,各27例。实验组患者实行腋下小切口开胸术,参照组患者实行传统后外侧切口手术,对比两组患者实行不同手术治疗后各项指标变化情况。结果实验组患者住院时间为(7.24±1.24)d、开胸时间为(13.27±2.54)min、疼痛积分为(3.17±0.67)分、并发症发生率为3.70%(1/27);参照组患者住院时间为(15.24±1.07)d、开胸时间为(26.57±3.24)min、疼痛积分为(8.14±0.37)分、并发症发生率为25.93%(7/27);两组住院时间、开胸时间、疼痛积分及并发症发生率比较差异有统计学意义(t/χ2=25.3806、16.7865、33.7414、5.2826,P<0.05)。结论将小切口开胸术应用于肺癌治疗中可明显提高临床治疗效果,降低并发症发生率,缓解患者疼痛,缩短住院时间,值得临床应用与推广。
Objective To study the clinical effect of small incision thoracotomy in the treatment of lung cancer. Methods Fifty-four patients with lung cancer were divided into the reference group and the experimental group by random number table, with 27 cases in each. Patients in the experimental group underwent small incision thoracotomy, while patients in the reference group underwent traditional posterior incision. The changes of the indexes after the operation of two groups were compared. Results The length of hospital stay in the experimental group was (7.24 ± 1.24) days, the time of thoracotomy was (13.27 ± 2.54) min, the score of pain was (3.17 ± 0.67) points, the complication rate was 3.70% (1/27) The duration of hospitalization was (15.24 ± 1.07) days, the time of thoracotomy was (26.57 ± 3.24) min, the score of pain was (8.14 ± 0.37) points, the complication rate was 25.93% (7/27) Thoracotomy time, pain scores and complication rates were significantly different (t / χ2 = 25.3806,16.7865,33.7414,5.2826, P <0.05). Conclusion Small incision thoracotomy applied in the treatment of lung cancer can significantly improve the clinical treatment effect, reduce the incidence of complications, relieve pain and shorten the hospital stay, it is worthy of clinical application and promotion.