胸腔镜切除术治疗肺多发结节患者的临床疗效分析

Clinical Effect of Thoracoscopic Resection in Treatment of Patients with Multiple Pulmonary Nodules

目的:分析胸腔镜切除术治疗肺多发结节患者的临床疗效。方法:回顾性分析2015年2月-2017年8月本院收治的80例肺多发结节患者的临床资料,根据治疗方式不同分为对照组(开胸手术)和研究组(胸腔镜切除术),各40例。比较两组疗效、并发症、住院时间、引流时间、术后引流量、术中使用钉仓数量、术中出血量等。结果:研究组治疗总有效率为92.50%,高于对照组的75.00%(P<0.05);研究组并发症发生率10.00%,低于对照组的27.50%(P<0.05);研究组住院时间、引流时间、术后引流量、术中出血量均低于对照组,术中使用钉仓数多于对照组,比较差异均有统计学意义(P<0.05)。结论:建议临床治疗肺多发结节采用胸腔镜切除术,与开胸手术比较,其效果更为突出,且创伤小,术后恢复速度快,属于一种有效且安全的诊治方式。

Objective：To analyze the effect of thoracoscopic resection in treatment of patients with multiple pulmonary nodules.Method：The clinical data of 80 patients with multiple pulmonary nodules admitted to our hospital from February 2015 to August 2017 were analyzed retrospectively.According to different treatment methods,they were divided into control group（thoracotomy） and study group（thoracoscopic excision）,40 cases in each group.The curative effect,complications,hospitalization time,drainage time,postoperative drainage volume,the number of intraoperative use of nail bunkers,intraoperative bleeding volume between two groups were compared.Result：The total clinical effect in study group was 92.50%,which was higher than 75.00% in control group（P〈0.05）.The total incidence of complications in study group was 10.00%,which was lower than 27.50% in control group（P〈0.05）.The curative effect,complications,hospitalization time,drainage time, postoperative drainage volume,intraoperative bleeding volume in study group were lower than those of control group,the number of intraoperative use of nail bunkers was higher than that of control group,the differences were statistically significant（P〈0.05）.Conclusion：It is recommended to treat multiple pulmonary nodules by thoracoscopic resection,compared with thoracotomy,the effect is more prominent,with less trauma and faster postoperative recovery,it is an effective and safe way of diagnosis and treatment.