摘要
目的:探讨全胸腔镜下行解剖性肺段切除术在肺部小结节临床治疗中的应用效果。方法:选取笔者所在医院2017年10月-2018年5月收治的78例肺部小结节患者作为研究对象,随机分为观察组(全胸腔镜下行解剖性肺段切除术)和对照组(全胸腔镜下行肺叶切除术),各39例,观察两组患者手术治疗效果。结果:观察组术中出血量、引流量均少于对照组,引流时间及住院时间均短于对照组,差异均有统计学意义(P<0.05);治疗前两组FEV1%、FVC%比较差异无统计学意义(P>0.05),治疗后两组FEV1%、FVC%均高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组漏气、肺部感染、出血等并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:全胸腔镜下行解剖性肺段切除术是治疗肺部小结节的有效方法,能够有效改善患者的临床症状,减轻手术创伤对于肺功能的干扰和影响,帮助患者更快、更好地恢复健康。
Objective: To investigate the clinical effect of total thoracoscopic anatomic pulmonary segmentectomy in the treatment of pulmonary nodules. Method: A total of 78 patients with pulmonary nodules admitted to our hospital from October 2017 to May 2018 were selected as research objects, and divided into the observation group (total thoracoscopic anatomic pulmonary segmentectomy) and the control group (total thoracoscopic lobectomy), with 39 cases in each group. The surgical treatment effect of the two groups were observed. Result: The amount of blood loss and drainage in the observation group were less than those in the control group, and the drainage time and hospitalization time in the observation group were shorter than those in the control group (P<0.05). There was no significant difference in FEV1%, FVC% between the two groups before treatment (P>0.05). After treatment, the FEV1%, FVC% of both groups were higher than those before treatment, and the observation group were higher than those of the control group (P<0.05). The total incidence of air leakage, pulmonary infection and bleeding in the observation group was lower than that in the control group (P<0.05). Conclusion: Total thoracoscopic anatomic pulmonary segmentectomy is an effective method for the treatment of pulmonary nodules, which can effectively improve the clinical symptoms of patients, reduce the interference and influence of surgical trauma on lung function, and help patients recover faster and better.
作者
沈秋荣
SHEN Qiurong(Longyan Second Hospital, Longyan 364000, China)
出处
《中外医学研究》
2019年第28期22-24,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胸腔镜
解剖性肺段切除术
肺部小结节
临床疗效
Total thoracoscopy
Anatomic pulmonary segmentectomy
Pulmonary nodules
Clinical curative effect
