胸腔镜肺叶切除术及淋巴清扫术对不同病理类型肺癌患者肺功能、生存率的影响

doi:10.11904/j.issn.1002-3070.2015.05.006

Abstract

Abstract: Objective To investigate the VATS lobectomy and lymph node dissection impact on lung function and the survival rate in patients with different pathological types of lung cancer.Methods One hundred and twenty five cases of lung cancer patients underwent laparoscopic lobectomy and mediastinal lymph node dissection as research subjects from June 2009 to September 2011 in our hospital.The patients were divided into pathology group(AG),squamous cell carcinoma(SG) and large cell carcinoma group(LG)according to the type of cancer.The clinical effects were observed before and after surgery,lung function and survival rate.Results LG Group in operative time,blood loss and postoperative chest tube drainage were higher than SG group AG group(P＜0.05);AG group blood loss,postoperative chest tube drainage,blood transfusion after surgery and postoperative recovery times were higher than the SG group(P＜0.05);LG group was higher than AG group(P＜0.05)in terms of FVC%;LG Group,AG group in FVC%,FEF50%,FEF75% respects SG group were significantly different(P＜0.05);18-month survival rate of patients in each group after the first follow up Results of less than 12 months(P＜0.05).SG group at 12,18-month survival rates were higher than AG group and LG group(P＜0.05).Conclusion Laparoscopic lobectomy combined treatment of pathological lymph node dissection in patients with different types of lung cancer,large cell carcinoma surgery operative time,blood loss and postoperative chest tube drainaged are higher than adenocarcinoma,squamous cell carcinoma;squamous cell survival and physical evaluation of patients are higher than the other groups.

Key words: Thoracoscopy, Lymphadenectomy, Lung cancer, Lung function, Survival

CLC Number:

R734.2

LU Kaijin, JIA Weiguang, SHEN Jiangfeng. Lung function and the survival rate of impact thoracoscopic lobectomy and lymph node dissection for patients with different pathological types of lung cancer[J]. PRACTICAL ONCOLOGY JOURNAL, 2015, 29(5): 409-413.

References

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Lung function and the survival rate of impact thoracoscopic lobectomy and lymph node dissection for patients with different pathological types of lung cancer

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