完全胸腔镜下肺段切除术与肺叶切除术治疗肺部小结节的临床分析

摘要

目的：对肺部小结节患者采用完全胸腔镜下肺段切除手术与肺叶切除手术治疗，观察和分析2组手术方式治疗的临床效果。方法选取2009年3月～2013年5月巴中市中心医院收治的肺部小结节患者40例，随机分为对照组(n=21)和治疗组(n=19)。对照组在完全胸腔镜下进行肺叶切除手术治疗，试验组在完全胸腔镜下行肺段切除手术治疗。结果经过手术治疗之后，试验组患者术中出血和术后引流时间及术后引流量、术中使用钉仓数量、平均住院时间要明显优于对照组，差异有统计学意义(P＜0.05)；2组手术时间及并发症等比较，差异无统计学意义。结论对肺部小结节患者采用完全胸腔镜下进行肺段切除手术治疗，能够有效地改善患者的症状，减轻患者的痛苦，值得临床推广应用。%Objective The small pulmonary nodules were treated by segmental completely thoracoscopic resection operation and lobectomy operation treatment, clinical observation and analysis of treatment group two operation mode.Methods The hospital treated 40 cases of small pulmonary nodule patients, grouped according to the random number table method, divided into the control group (n=21) and the treatment group (n=19). Control group:lobectomy operation treatment in completely thoracoscopic resection operation;experimental group:treatment in completely thoracoscopic lung segment.Results After operation treatment,experimental group with intraoperative bleeding and postoperative drainage time,postoperative drainage volume, intraoperative use of nail warehouse number,average hospitalization time is obviously better than the control group,the difference was signiifcant, with statistical signiifcance (P<0.05).But the two groups of patients with operation time and complications were compared, the difference was not statistically signiifcant.Conclusion In clinic, the small pulmonary nodules in patients with completely thoracoscopic lung resection operation treatment,can effectively improve the patient's symptoms, reduce the pain of patients, is worthy of promotion and application in clinical.