[1]严磊,马景华,朱冰,等. XSZ-G系列电视胸腔镜下解剖性肺段切除在IB期非小细胞肺癌患者中的临床效果及对肺功能的影响[J].中国医学物理学杂志,2018,35(4):493-496.[doi:DOI:10.3969/j.issn.1005-202X.2018.04.023]
　YAN Lei,MA Jinghua,ZHU Bin,et al. Clinical efficacy of anatomical pulmonary resection aided by video-assisted thoracoscope of series XSZ-G on stage IB non-small cell lung cancer and its effects on lung functions[J].Chinese Journal of Medical Physics,2018,35(4):493-496.[doi:DOI:10.3969/j.issn.1005-202X.2018.04.023]
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 XSZ-G系列电视胸腔镜下解剖性肺段切除在IB期非小细胞肺癌患者中的临床效果及对肺功能的影响()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第4期
页码:
493-496
栏目:
其他（激光医学等）
出版日期:
2018-04-21

文章信息/Info

Title:
 Clinical efficacy of anatomical pulmonary resection aided by video-assisted thoracoscope of series XSZ-G on stage IB non-small cell lung cancer and its effects on lung functions
文章编号:
1005-202X（2018）04-0493-04
作者:
 严磊; 马景华; 朱冰; 陈翔
 湖北省中西医结合医院， 湖北 武汉 430015
Author(s):
 YAN Lei;  MA Jinghua;  ZHU Bin;  CHEN Xiang
 Hubei Provincial Hospital of Integrated Chinese and Western Medicine, Wuhan 430015, China
关键词:
 ; XSZ-G系列电视胸腔镜; 解剖性肺段切除术; 全胸腔镜肺叶切除术; IB期非小细胞肺癌; 肺功能
Keywords:
 ; video-assisted thoracoscope of series XSZ-G;  anatomical pulmonary resection;  video-assisted thoracoscopic lobectomy;  stage IB non-small cell lung cancer;  lung functions
分类号:
R734.2
DOI:
DOI:10.3969/j.issn.1005-202X.2018.04.023
文献标志码:
A
摘要:
 目的：探讨XSZ-G系列电视胸腔镜下解剖性肺段切除术在IB期非小细胞肺癌患者中的临床效果及对肺功能的影响。 方法：取2015年5月~2017年6月收治的IB期非小细胞肺癌患者70例，随机数字法分为对照组和观察组。对照组采用全胸腔镜肺叶切除术，观察组采用XSZ-G系列电视胸腔镜下解剖性肺段切除术，采用德国powerCube肺功能仪对患者治疗前、后肺功能水平进行测定，比较两组临床疗效及对肺功能的影响。 结果：两组淋巴结清扫数无统计学差异（P>0.05）；观察组术中出血量、手术时间、术后引流时间及术后住院时间均少（短）于对照组（P<0.05）；观察组治疗后肺1 s用力呼气量、FEV1占预计值百分比、最大呼气流量及FEV1/FVC水平均高于对照组（P<0.05）；观察组术后并发症发生率为11.43%，与对照组的20.00%比较差异有统计学意义（P<0.05）。 结论：IB期非小细胞肺癌患者采用XSZ-G系列电视胸腔镜下解剖性肺段切除术治疗效果理想，有助于提高肺功能水平，值得推广应用。
Abstract:
 Objective To investigate the therapeutic effects of anatomical pulmonary resection with video-assisted thoracoscope of series XSZ-G for stage IB non-small cell lung cancer (NSCLC) and its effects on pulmonary functions. Methods A total of 70 patients with stage IB NSCLC from May 2015 to June 2017 were randomly divided into control group (n=35) and observation group (n=35). The patients in control group received video-assisted thoracoscopic lobectomy, while those in observation group underwent anatomical pulmonary resection aided by video-assisted thoracoscope of series XSZ-G. German powerCube pulmonary function instrument was used for measuring the lung function levels before and after treatment, and thus to compare the therapeutic effects between 2 groups and effects on lung functions. Results No significant differences were found in lymph node dissection number between 2 groups (P>0.05). The blood loss, operation time, postoperative drainage time and postoperative hospital stay were less (shorter) in observation patients as compared with control group (P<0.05). After treatment, forced expiratory volume in 1 second (FEV1), percentage of FEV1 in expected value, peak expiratory flow-volume, and FEV1/forced vital capacity in observation group were higher than those in control group (P<0.05). Statistical differences were found in the incidence of postoperative complications between observation group and control group (11.43% vs 20.00%, P<0.05). Conclusion Anatomical pulmonary resection with video-assisted thoracoscope of series XSZ-G for stage IB NSCLC achieves a satisfactory therapeutic effect and is conducive to improving lung functions, worthy of popularization and application.

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备注/Memo

备注/Memo:
 【收稿日期】2017-11-16
【作者简介】严磊，主治医师，主要研究方向：食管、肺、纵隔肿瘤，E-mail: 732836817@qq.com
【通信作者】吴迪，主治医师，博士研究生，研究方向：慢性乙肝、胸外科，E-mail: 732836817@qq.com
更新日期/Last Update: 2018-04-23