摘要
目的：探讨电视胸腔镜诊疗孤立性肺结节的临床价值。方法：对我院电视胸腔镜手术诊断、治疗的51例孤立性肺结节病人的效果进行回顾性分析。结果：全组通过术中病理检查均快速获得病理诊断,诊断率100%;无严重手术并发症及手术死亡。良性病变23例,其中21例行全胸腔镜肿块楔形切除,2例行胸腔镜下肺叶切除术。随访2~48个月,均无复发。恶性病变28例,均为非小细胞型,行肺叶切除＋纵隔淋巴结清扫术,其中23例全胸腔镜操作;5例辅加小切口手术,其中有2例中转开胸完成手术。术后2例失访,余26例随访3~45个月。24例无瘤生存;1例手术24月后发现肿瘤复发,目前存活;1例术后2-3年间死亡,死亡原因为肿瘤复发。结论：电视胸腔镜手术诊治肺部小结节创伤小,易接受,不但能明确病理诊断、同时对其进行正规治疗,具有很大的优势。
Objective： To assess the value of video-assisted thoracoscopic surgery（ VATS） in the diagnosis and treatment of solitary pulmonary nodule（ SPN）. Methods： The clinical efficacies were retrospectively reviewed and analyzed in 51 patients with SPN undergone VATS in our hospital. Results：Generally,the total patients received intraoperative pathologic diagnosis via rapid frozen section technique,and no operative complications or death occurred. In 23 benign cases,21 underwent cuneiform resection of the nodules and 2,lobectomy under the VATS. No relapse occurred in a follow-up period of 2 to 48 months. Twenty-eight cases confirmed as non-small cell lung cancer during the operation were treated with lobectomy and radical resection of the lymph nodes,and the procedures were completed under VATS in 23 cases and additional small incision in 5. Two patients were converted to open surgery.Failure follow-up occurred in 2 cases,and the remaining 26 were followed for 3 to 45 months. Twenty-four patients were disease-free survival,and relapse occurred in one cases after 24 months,but survived to date. One death occurred in 2 to 3 years after operation due to relapse. Conclusion： Although VATS can be effective and minimal invasive for solitary pulmonary nodules,yet the procedure fails to facilitate pathologic confirmation.
出处
《皖南医学院学报》
CAS
2015年第1期49-51,共3页
Journal of Wannan Medical College
关键词
孤立性肺结节
电视胸腔镜
诊断
治疗
solitary pulmonary nodule
video-assisted thoracoscopic surgery
diagnosis
treatment
