摘要
目的探究在临床肺小结节病灶治疗中采取胸腔镜下解剖性肺段切除术的临床效果。方法该次在2018年1月—2019年10月内,该院肺小结节病灶病例中简单随机抽选样本90例,以手术方式的差异性分组,对照组选择肺叶切除术、研究组采取胸腔镜下解剖性肺段切除术,各45例,以临床手术指标、术后并发症发生情况为指标对比分析。结果临床指标手术时间、术中出血量、引流时间、住院时间对比,研究组各指标均优于对照组,差异有统计学意义(P<0.05),两组淋巴清扫个数组间对比差异无统计学意义(P>0.05);且术前两组肺功能指标组间对比差异无统计学意义(P>0.05),术后研究组肺功能指标优于对照组,差异有统计学意义(P<0.05),同时术后并发症发生率对比研究组6.67%低于对照组24.44%,差异有统计学意义(χ~2=5.414,P=0.020<0.05)。结论针对肺小结节病灶患者采取胸腔镜下解剖性肺段切除术,临床治疗效果佳,且最大程度的保留患者肺组织,同时术后并发症风险小,安全性高,具有应用的推广价值。
Objective To explore the clinical effect of thoracoscopic anatomical pneumonectomy in the treatment of small pulmonary nodules.Methods During the case period from January 2018 to October 2019,90 cases of pulmonary nodular lesions in the hospital were sampled and divided into different groups according to the surgical method.The control group selected lobectomy,in the study group with thoracoscopic anatomical segmental resection,with 45 cases in each group,and the clinical analysis and postoperative complications were compared and analyzed.Results Comparison of clinical indicators of operation time,intraoperative blood loss,drainage time,and length of stay in the study group were better than those of the control group,the difference was statistically significant(P<0.05),there was not statistaically significant difference between the two groups of lymphatic dissection groups(P>0.05);and pulmonary function index comparison between the two groups,the difference was not statistically significant(P>0.05),the postoperative pulmonary function index of the study group was better than that of the control group,the difference was statistically significant(P<0.05),and the postoperative complication rate of the study group was 6.67%lower than that of the control group 24.44%,the difference was statistically significant(χ2=5.414,P=0.020<0.05).Conclusion Thoracoscopic anatomical segmentectomy for patients with small pulmonary nodule lesions is effective in clinical treatment and retains the patient's lung tissue to the greatest extent.At the same time,the risk of postoperative complications is small,the safety is high,and it has application promotion value.
作者
钱军岭
QIAN Jun-ling(Department of Cardiothoracic Surgery,Jiangning Hospital,Nanjing,Jiangsu Province,211100 China)
出处
《中外医疗》
2020年第32期47-49,共3页
China & Foreign Medical Treatment
关键词
胸腔镜
解剖性肺段切除术
肺小结节病灶
临床效果
Thoracoscopy
Anatomical segmentectomy
Small pulmonary nodules
Clinical effect
