完全胸腔镜下肺段切除术与肺叶切除术治疗肺部小结节的临床疗效

目的研究完全胸腔镜下肺段切除术与肺叶切除术治疗肺部小结节的临床疗效。方法：选取肺部小结节患者50例，随机分为2组各25例，完全胸腔镜下肺叶切除术（对照组），完全胸腔镜下肺段切除术（观察组）。对比两组肺部小结节患者的术中出血量、术中使用钉仓数、术后引流量、引流时间和住院时间。结果：观察组肺部小结节患者的术中出血量、术中使用钉仓数、术后引流量、引流时间和住院时间均优于对照组患者（P〈0．05）。结论：在完全胸腔镜下实施肺段切除术治疗肺部小结节的效果优于肺叶切除术，患者的临床症状得到有效改善，住院时间缩短。

Objective To study the thoracoscopic pulmonazT resection the chnieal efficacy of resection and lobectomy in the treatment of small pulmonary nodules.Methods：50 cases of pulmonary nodules were selected and randomly divided into 2 groups,one group of 25 patients.Completely thoracoscopic lobectomy （control group）,completely thoracoscopic segmentectomy（observation group）.The indexes of two groups of patients with small pulmonary nodules were compared. Results：In the observation group,the amount of blood loss during operation,the number of nail bin,the lead discharge,drainage time and hospitalization time were better than those of the control group （P〈0.05）.Conclusion：Under the completely thoracoscopic lung segment resection surgery in the treatment of pulmonary nodules is better than lobectomy.The clinical symptoms of the patients were improved.