摘要
目的:探讨全胸腔镜辅助下行解剖性肺段切除术治疗肺部小结节的疗效。方法:104例肺部小结节患者,随机分为试验组和对照组各52例,对照组采用传统手术治疗,试验组采用全胸腔镜辅助下行解剖性肺段切除术治疗,比较两组患者的手术时间、术中出血量和住院时间及并发症发生情况。结果:试验组的手术时间(168.7±39.4)min、手术中出血量(59.9±39.7)ml和住院时间(6.9±1.5)d明显少于对照组[分别为(173.4±48.9)min,(69.7±71.4)ml,(10.6±3.4)d](P<0.05)。试验组患者治疗后血清铁蛋白(127.8±112.5)μg/L、NSE(7.2±6.5)ng/ml、CEA(2.3±2.3)ng/ml、CAl25(14.2±4.3)U/ml、CYFRA2l-l(1.2±0.7)ng/ml水平明显低于对照组(P<0.05)。试验组的并发症发生率(3.8%)明显少于对照组(17.3%)(P<0.05)。结论:采用全胸腔镜辅助下行解剖性肺段切除术治疗肺部小结节可以很好的改善患者的症状,减少并发症发生。
Objective： To evaluate the clinical efficacy of full thoracoscopic anatomic segmentectomy for treat-ment of small pulmonary nodules. Methods： 104 cases of pulmonary nodules in patients with surgical treatment, were randomly divided into experimental group and control group, each of 52 cases, the control group used the tradi-tional surgical treatment, experimental group with total thoracoscopy anatomic segmentectomy for treatment, com-pared two groups of patients at the time of the operation, and operation bleeding and hospitalization time and compli-cations. Results： The operation time of the experimental group （168. 7±39. 4） min, operative bleeding （59. 9± 39. 7）ml and hospitalization time （6. 9± 1. 5 days） was significantly less than that in the control group, with significant difference （P 〈0. 05）. Patients in the experimental group after treatment, the serum ferritin （127. 8 ± 112. 5） μg/L, NSE （7. 2±6. 5） ng/ml,CEA （2. 3±2. 3） ng/ml,CA125 （14. 2±4. 3） U/ml,CYFRA21-1 （1. 2±0. 7） ng/ml level was significantly lower than that in the control group, the difference has statistical significance （P〈0 . 05） . In the experimental group, the incidence of complications （3. 8%） was significantly less than that in the control group （17. 3%）,with significant difference （P〈0. 05） . Conclusion： The total thoracoscopy anatomy of pulmonary segments resection surgery in the treatment of small pulmonary nodules can be very good to improve the patient＇s symptoms, reduce complications and has important clinical significance.
出处
《陕西医学杂志》
CAS
2017年第2期178-179,237,共3页
Shaanxi Medical Journal
