胸腔镜解剖性肺段切除术治疗孤立性肺结节的效果研究

Efficacy of thoracoscopic anatomic segmentectomy in the treatment of isolated pulmonary nodules

目的:探讨胸腔镜解剖性肺段切除术对孤立性的肺结节者疗效。方法:选取2021年1月至2022年1月本院治疗的78例孤立性肺结节患者作为研究对象。随机将患者分为对照组和研究组,各39例。对照组实施常规胸腔镜肺叶切除术,研究组采用胸腔镜解剖性肺段切除术。分析对比两组的围术期相关指标、肺功能以及预后情况。结果:围术期指标方面,研究组术后引流时间、术中出血量、住院时间、术后引流量均明显低于对照组(P<0.05);肺功能相关的指标方面,研究组术后FVC、FEV1、MVV均明显高于对照组(P<0.05)。术后1年的无瘤生存率和总生存率方面,两组患者无明显差异(P>0.05)。结论:胸腔镜下解剖性肺段切除术治疗孤立性肺结节的疗效方面较好,不仅能够让病人的康复速度一定程度上加快,同时能够改善其肺相关的功能状况。

Objective:To investigate the efficacy of thoracoscopic anatomic segmentectomy for isolated pulmonary nodules.Methods:78 patients with solitary pulmonary nodules treated in our hospital from January 2021 to January 2022 were selected as the study objects.The patients were randomLy divided into control group and study group,39 cases each.The control group underwent conventional thoracoscopic lobectomy,while the study group underwent thoracoscopic anatomic segmental resection.The perioperative indexes,lung function and prognosis of the two groups were analyzed and compared.Results:In terms of perioperative indexes,postoperative drainage time,intraoperative blood loss,hospital stay and postoperative drainage volume in the study group were significantly lower than those in the control group(P<0.05).FVC,FEV1 and MVV in the study group were significantly higher than those in the control group(P<0.05).There was no significant difference in tumor free survival and overall survival between the two groups at 1 year after surgery(P>0.05).Conclusion:Thoracoscopic anatomical segmental resection is effective in the treatment of isolated pulmonary nodules,which can not only speed up the recovery of patients to a certain extent,but also improve their lung function.