胸腔镜手术治疗孤立性肺小结节患者的效果分析

Analysis of the effect of thoracoscopic surgery on patients with solitary pulmonary nodules

目的 分析胸腔镜手术治疗孤立性肺小结节患者的临床效果。方法 选取2016年1月-2019年2月在我院接受治疗的40例孤立性肺小结节患者,按照就诊顺序分为观察组(n=40)与对照组(n=40),对照组采用传统开胸探查手术治疗,观察组采用胸腔镜手术治疗,比较两组患者治疗效果。结果 除住院总费用外,观察组相关手术治疗指标均显著优于对照组(P<0.05);两组患者死亡率无显著差异(P>0.05);观察组复发率为5.00%,显著低于对照组的30.00%(P<0.05);观察组各项生活质量评分均显著高于对照组(P<0.05)。结论 采用胸腔镜手术治疗孤立性肺小结节,可明显改善手术治疗指标,降低患者术后疾病复发率,提高患者生活质量。

Objective To analyze the clinical effect of thoracoscopic surgery on patients with solitary pulmonary nodules. Methods Forty patients with solitary pulmonary nodules who were treated in our hospital from January to February 2019 were divided into an observation group ( n =40) and an control group ( n =40) according to the order of treatment. The control group was treated with the traditional open thoracotomy while the observation group was treated with thoracoscopic surgery, and the therapeutic effects of the two groups were compared. Results Except for the total hospitalization expenses, the surgical treatment indexes of the observation group were significantly better than the control group ( P <0.05). There was no significant difference in mortality between the two groups ( P >0.05). The recurrence rate of the observation group was 5.00%, which was significantly lower than that in the control group (30.00%)( P <0.05);the quality of life scores of the observation group were significantly higher than the control group ( P <0.05). Conclusion Thoracoscopy for the treatment of solitary pulmonary nodules can significantly improve the surgical treatment index, reduce the recurrence rate of postoperative disease and improve the patients’ quality of life.