摘要
目的比较肺段切除术与肺叶切除术的特点及治疗肺部疾病价值。方法 300例肺部疾病患者行前瞻性研究,随机分组,肺叶组行胸腔镜下肺叶切除或肺楔形切除术,肺段组行肺段切除术。结果两组手术时间与淋巴结清扫数量比较无统计学差异(P>0.05),肺段组术中出血量、引流量、住院费用显著少于肺叶组,引流时间、住院时间显著短于肺叶组(P<0.01)。两组并发症发生情况比较无统计学差异(P>0.05)。结论肺段切除术治疗肺部疾病创伤小、出血量少、术后康复快、并发症少,但治疗前应细致评估适应征。
Objective To compare the features and clinical value between lung resection surgery and lobec- tomy surgery in the treatment of lung disease. Methods 300 patients with lung disease were given prospective stud- y, and they were randomly divided into the lobe group and the segment group. The lung lobe group was given thoraco- scopic lobectomy or wedge resection surgery, and the lung segment group was given lung resection surgery. Results There was no significant difference in operating time and number of lymph nodes between the two groups （ P 〉 0. 05 ）. Blood loss, drainage and hospital cost were significantly less in the lung segment group than in the lobe group, and drainage time and duration of hospital stay were significantly shorter in the segment group than in the lobe group （ P 〈 0. 01 ）. The incidence of complications showed no significant difference between the two groups （P 〉 0. 05）. Conclusion Lung segment resection surgery has the advantages of small creation, little bleeding, rapid postoperative recovery and few complications in the treatment of lung diseases.
出处
《临床肺科杂志》
2015年第10期1802-1804,共3页
Journal of Clinical Pulmonary Medicine
关键词
胸腔镜
肺段切除术
肺部疾病
thoracoscopy
lung resection surgery
lung disease
