外周型孤立性肺结节的诊断和外科治疗探析

目的研究外周型孤立性肺结节患者采用胸腔镜外科微创手术方式进行诊治的临床效果.方法：选取 74 例在我院手术的外周型孤立性肺结节患者,通过随机分组的方式将其分成对照组和治疗组,每组 37 例.对照组采用常规开胸手术方式进行治疗;治疗组采用胸腔镜外科微创手术方式进行治疗.对比两组治疗总有效率、术后住院时间、术后并发症情况.结果：治疗组患者手术总有效率为 91.9%,高于对照组的 67.6%;术后住院时间明显短于对照组;术后仅有 1 例并发症出现,少于对照组的 6 例.上述数据组间差异有统计学意义（P〈0.05）.结论：外周型孤立性肺结节患者采用胸腔镜外科微创手术方式进行诊治,能减少术后并发症,缩短住院时间,使治疗效果提升.

Objective： Objective： To study the clinical effect of minimally invasive surgery through thoracoscopic surgery in patients with peripheral solitary pulmonary nodules. Methods： 74 cases of peripheral solitary pulmonary nodules in our hospital were randomly divided into control group and treatment group, with 37 cases in each group. The control group was treated by conventional thoracotomy, while the treatment group was treated with minimally invasive surgery through thoracoscopic surgery. The total effective rate, postoperative hospital stay and postoperative complications of the two groups were compared. Results： the total effective rate of the patients in the treatment group was 91.9%, higher than that of the control group （67.6%）, and the postoperative hospitalization time was significantly shorter than that of the control group; only 1 cases had complications after the operation, and 6 cases were less than those in the control group. The difference between the above data groups was statistically significant （P 〈 0.05）. Conclusion： the diagnosis and treatment of Peripheral Solitary Pulmonary Nodules by minimally invasive surgery by thoracoscopic surgery can reduce the postoperative complications, shorten the time of hospitalization and improve the effect of the treatment.