胸腔镜精准肺段切除治疗肺部磨玻璃样结节的临床效果分析

Observation on the Clinical Effect of Thoracoscopic Precise Segmental Re⁃section for the Treatment of Ground Glass Nodules in the Lungs

目的在肺部磨玻璃样结节治疗中,分析胸腔镜精准肺段切除术的实际疗效。方法目的选取陇南市第一人民医院于2020年1月—2021年12月收治的肺部磨玻璃样结节的患者40例,根据手术方法不同分为对照组和观察组,各20例。对照组安排胸腔镜肺叶切除术治疗,观察组行胸腔镜精准肺段切除术。比较两组患者手术相关指标、术后并发症、肺功能指标的差异。结果观察组手术时间比对照组更长,差异有统计学意义(P<0.05);观察组术中出血量、术中胸管留置时间、术后住院时间均少于对照组,差异有统计学意义(P均<0.05)。两组术后并发症发生率相比,差异无统计学意义(P>0.05)。观察组术后6个月最大肺活量、最大每分钟通气量分别为(2.32±0.21)L、(64.13±3.31)L/min高于对照组的(1.97±0.14)L、(57.45±3.13)L/min,差异有统计学意义(t=6.202、6.558,P均<0.05)。结论胸腔镜精准肺段切除术治疗肺部磨玻璃样结节能够减少术中出血量,减少患者住院时间,效果较好。

Objective In the treatment of pulmonary ground-glass nodules,the actual efficacy of thoracoscopic pre-cise pulmonary segmentectomy was analyzed.Methods Purposely selected forty patients with ground-glass nodules in the lung admitted to the First People's Hospital of Longnan from January 2020 to December 2021.They were divided into control group and observation group according to different surgical methods,with twenty cases in each group.The control group was treated with thoracoscopic lobectomy,and the observation group was treated with thoracoscopic pre-cise segmentectomy.The differences of operation related indexes,postoperative complications and pulmonary function indexes between the two groups were compared.Results The operation time of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss,intra-operative chest tube indwelling time and postoperative hospital stay in the observation group were less than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The maximum vital capacity and maxi-mum ventilation per minute in the observation group were(2.32±0.21)L and(64.13±3.31)L/min respectively at 6 months after operation,which were higher than(1.97±0.14)L and(57.45±3.13)L/min in the control group,and the dif-ferences were statistically significant(t=6.202,6.558,both P<0.05).Conclusion Thoracoscopic precise pulmonary seg-mentectomy in the treatment of pulmonary ground-glass nodules can reduce the amount of intraoperative blood loss,reduce the length of hospital stay,and the effect is better.