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目的对胸腔镜局限性肺切除术治疗老年Ⅰ期肺癌的可行性及临床治疗效果进行临床探讨研究。方法选取2006年2月至2011年2月来我院接受Ⅰ期肺癌治疗的老年患者10名,10名患者中,其中6名患者的肺功能较差,采用胸腔镜局限性肺切除术进行治疗,作为观察组,剩下的4名患者肺功能正常,采用肺叶切除加纵膈淋巴结清扫法进行治疗,作为对照组。比较两组患者的临床治疗效果,并将比较结果使用统计学软件进行统计学处理。结果观察组患者的复发患者数及死亡患者数与对照组差异无统计学意义,P>0.05。结论胸腔镜局限性肺切除术可有效的对肺功能较差的老年1期肺癌进行有效的治疗,具有临床推广应用价值。
Objective To investigate the feasibility and clinical effect of thoracoscopic limited pneumonectomy in the treatment of elderly stage I lung cancer. Methods From February 2006 to February 2011, 10 elderly patients with stage I lung cancer were admitted to our hospital. Of the 10 patients, 6 patients had poor lung function and were treated by thoracoscopic endoscopic pneumonectomy , As the observation group, the remaining four patients with normal lung function, the use of lobectomy plus mediastinal lymph node dissection for treatment, as a control group. The clinical effects of the two groups were compared, and the results were compared statistically using statistical software. Results There was no significant difference between the observation group and the control group (P> 0.05). Conclusions Video-assisted thoracoscopic lung resection can effectively treat elderly patients with lung cancer with poor lung function and has clinical value.