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目的对比分析全胸腔镜下肺叶切除术与小切口开胸术治疗非小细胞肺癌的临床疗效。方法 108例小细胞肺癌患者,随机分为对照组和观察组,各54例。对照组行小切口开胸肺叶切除术治疗,观察组行全胸腔镜下肺叶切除术。对比观察两组患者术后淋巴结清扫情况及并发症发生情况。结果两组患者淋巴结清扫及转移情况比较,差异无统计学意义(P>0.05)。观察组并发症总发生率为1.85%,低于对照组的12.96%,差异有统计学意义(P<0.05)。结论对非小细胞肺癌患者行全胸腔镜下肺叶切除术,能够取得较好临床效果,有效降低患者术后并发症发生率,具有一定临床价值,值得推广运用。
Objective To comparatively analyze the clinical effect of total thoracoscopic lobectomy and small incision thoracotomy for non-small cell lung cancer. Methods A total of 108 patients with small cell lung cancer were randomly divided into control group and observation group, 54 cases in each group. The control group was treated with small incision thoracotomy, and the observation group underwent thoracoscopic lobectomy. The postoperative lymph node dissection and complication of the two groups were compared. Results There was no significant difference in lymph node dissection and metastasis between the two groups (P> 0.05). The total complication rate in observation group was 1.85%, which was lower than that in control group (12.96%), the difference was statistically significant (P <0.05). Conclusions Thoracoscopic lobectomy for patients with non-small cell lung cancer can achieve better clinical results and reduce the incidence of postoperative complications. It is of clinical significance and worthy of promotion and application.