胸腔镜下肺段切除术在肺小结节病灶治疗中的应用研究

Application of Thoracoscopic Segmental Resection in the Treatment of Small Pulmonary Nodule Lesions

目的探析胸腔镜下肺段切除术治疗肺小结节病灶的效果。方法方便选取该院于2014年5月—2018年5月收治的心胸外科96例肺小结节患者,随机分组各48例。对照组肺叶切除术治疗,观察组胸腔镜下肺段切除术治疗,对比治疗效果。结果观察组术中出血量[(66.58±10.25)mL vs (145.58±11.47)m L,(t=35.581,P=0.000)]和引流量[(560.26±102.15)mL vs (978.55±104.45)mL,(t=19.836,P=0.000)]明显少于对照组,引流时间[(3.23±0.84)d vs (4.78±1.26)d,(t=7.091,P=0.000)]和住院时间[(7.11±2.16)d vs (9.56±2.11)d,(t=5.621,P=0.000)]明显短于对照组(P<0.05),两组淋巴结清扫数量[(12.25±2.58)个vs (12.26±2.64)个,(t=0.018,P>0.05)];观察组肺功能优于对照组(P<0.05);观察组术后并发症发生率为6.24%明显低于对照组的20.83 d,差异有统计学意义(χ2=4.359,P<0.05)。结论胸腔镜下肺段切除术治疗肺小结节的效果显著,安全性高,值得推广应用。

Objective This paper tries to investigate the effect of thoracoscopic segmental resection for small pulmonary nodules. Methods From May 2014 to May 2018 of 96 patients with pulmonary nodules in cardiothoracic surgery were selected conveniently and randomized into 48 patients. The control group was treated with lobectomy, and the thoracoscopic segmental resection was performed in the observation group to compare the therapeutic effects. Results The intraoperative blood loss [（66.58±10.25）mL vs （145.58±11.47）mL, （t=35.581, P=0.000）] and drainage volume [（560.26±102.15）mL vs （978.55±104.45）mL, （t=19.836, P=0.000）] were significantly less in the observation group than in the control group. The drainage time[（3.23±0.84）d vs （4.78±1.26）d, （t=7.091, P=0.000）] and hospitalization time [（7.11±2.16）d vs （9.56±2.11）d, （t= 5.621, P=0.000）] were significantly shorter than the control group （P〈0.05）. There was no significant difference in the number of lymph node dissections between the two groups [（12.25±2.58）one vs （12.26±2.64）one （t=0.018, P〉0.05）]. The lung function of the observation group was better than that of the control group （P〈0.05）. The complications in the experimental group was 6.24%, significantly lower than the control group of 20.83,the difference was statistically （X^2=4.359, P〈0.05）. Conclusion Thoracoscopic segmental resection for the treatment of pulmonary nodules is effective and safe, and it is worthy of popularization and application.