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ID:44542698
大小:21.00 KB
页数:3页
时间:2019-10-23
《术式选择对有无COPD的肺癌患者的预后影响分析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、术式选择对有无COPD的肺癌患者的预后影响分析[摘要]目的分析术式选择对有无合并COPD的肺癌患者术后恢复进程、并发症及经济性的影响。方法选择2014年6月〜2016年9月期间我院收治的138例肺癌合并COPD患者,按双盲数字法分为对照组和A观察组,选取69例无COPD肺癌患者为B观察组。对照组患者采用传统的肺癌手术治疗;A、B观察组均采用全胸腔镜术实施手术治疗。详细记录患者在手术过程中、手术后相关指标及不良反应等情况。结果术中,A、B观察组患者的手术指标明显低于对照组,A观察组与B观察组的手术指标无差异,且三[中图分类号]R563[文献标识码]A[文章编号]1673-970117-0011-
2、04[Abstract]ObjectiveToanalyzetheeffectofsurgicalmethodsselectiononthepostoperativerecoveryprocess,complicationsandeconomicalefficiencyinthelungcancerpatientswithorwithoutCOPD・MethodsAtotalof138patientswithlungcancercomplicatedwithCOPDwhowereadmittedtoourhospitalfromJune2014toSeptember2016wereselect
3、ed.Accordingtothedouble-blinddigitalmethod,thepatientsweredividedintothecontrolgroupandobservationgroupA.Atotalof69patientswithlungcancerwithoutCOPDwereselectedinobservationgroupB.Thepatientsinthecontrolgroupweretreatedwithtraditionallungcancersurgery;observationgroupAandBweretreatedwithfullthoracos
4、copicsurgery.Relevantindicatorsandadversereactionswererecordedindetailinthecourseofsurgeryandaftersurgery.ResultsDuringthesurgery,thesurgicalindicatorsintheobservationgroupAandBweresignificantlylowerthanthoseinthecontrolgroup・Therewasnosignificantdifferenceinthesurgicalindicatorsbetweenobservationgr
5、oupAandobservationgroupB,andtherewasnosignificantdifferenceintheoperationtimebetweenthethreegroups.Aftersurgery,thepostoperativeconditionintheobservationgroupAwassignificantlybetterthanthatinthecontrolgroup.ThepostoperativeconditionintheobservationgroupBwassignificantlybetterthanthatinobservationgro
6、upA;however,thehospitalizationcostsinobservationgroupAandBwereslightlyhigherthanthatinthecontrolgroup.TheeffectiverateofsurgeryandtheadrersereactionratesintheobservationgroupAwere89.86%and5.80%respectively,whichweresignificantlybetterthanthoseof76.81%and13.05%inthecontrolgroup;theeffectiverateofsurg
7、eryandincidencerateofadversereactionsintheobservationgroupBwerebetterthanthoseintheobservationgroupA・ConclusionFullthoracoscopicsurgeryinthetreatmentoflungcancercomplicatedwithCOPDcanimprovetherecover
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