谭成

摘要：目的 探讨全胸腔镜肺叶切除术与开放肺叶切除术治疗早期肺癌的临床疗效。方法 通过对2012年1月～2015年12月在我院治疗的128例早期非小细胞肺癌患者进行随机分组，实验组患者应用全胸腔镜肺叶切除术治疗，对照组患者给予开放肺叶切除术治疗，观察比较两组患者治疗效果的差异。结果 实验组患者各项观察指标同对照组比较明显优于对照组，差异具有统计学意义（P<0.05）。结论 针对早期非小細胞肺癌的患者采用全胸腔镜肺叶切除术治疗，可改善临床症状，提高治疗效果，降低不良反应发生率，促进患者康复。临床值得推广应用。

关键词：全胸腔镜；肺叶切除术 ；早期肺癌

Comparative Study of Total Thoracoscopic Lobectomy and Open Lobectomy for Early Lung Cancer

TAN Cheng

（Department of Surgery，the First People's Hospital of Yidu，Yidu 443300，Hubei，China）

Abstract：Objective To investigate the clinical efficacy of total thoracoscopic lobectomy and open lobectomy for early lung cancer.Methods A total of 128 patients with early non-small cell lung cancer（NSCLC）who were treated in our hospital from January 2012 to December 2015 were randomly divided into two groups.The experimental group received thoracoscopic lobectomy treatment，the control group were treated with open lobectomy， between patients with treatment effects were compared between the two groups were observed.Results The experimental group indicators were compared with the control group significantly better than the control group，the difference has statistical significance（P<0.05）.Conclusion In early stage non-small cell lung cancer patients by thoracoscopic lobectomy treatment can improve clinical symptoms，improve the therapeutic effect，reduce the incidence of adverse reaction，promote the rehabilitation of patients.It is worthy clinical application.

Key words：Full thoracoscopy；Lobectomy；Early lung cancer

现今社会医疗技术不断发展，越来越多的微创技术被临床应用。作为一项微创外科技术电视胸腔镜手术具有出血少，创伤小，术后疼痛轻等特点，它为相对于不能接受传统手术的患者提供了治疗机会，带来了新的希望，已成为治疗早期非小细胞肺癌的常用方法之一。胸腔镜技术被广泛认为是自体外循环问世以来，胸外科领域的又一项重大技术革新[1-2]。介于电视胸腔镜手术与传统开胸手术之间的争议，本文通过我院收治的128例患者临床资料进行分析，讨论全胸腔镜肺叶切除术与开放肺叶切除术的治疗方法，在手术安全性、根治性、及患者创伤程度，术后康复的差异，讨论评价全胸腔镜肺叶切除术在早期肺癌患者治疗中的临床实用价值，现报告如下。

1 资料与方法

1.1一般资料 我院治疗的128例早期肺癌患者随机分组，两组各64例，其中实验组男41例，女23例，年龄为33～79岁，平均年龄为（55.31±2.34）岁，对照组男39例，女25例，年龄为36～83岁，平均年龄为（58.79±2.58）岁。……