电视胸腔镜在诊治肺部结节病灶的应用

The application of VATS in the diagnosis and treatment of small lung neoplasm

目的 :探讨电视胸腔镜对肺部结节病灶的诊治方法。方法 :对肺部结节病灶小于 15mm以下的 2 0例病人 ,采用胸腔镜将结节病灶楔形除 ,送冰冻切片而确诊 ,恶性者进一步作肺叶切除术。结果 :14例术中冰冻病理切片为恶性 ,占 70 % ,全部为IA期 ,6例为良性 ,占 30 %。随访 12～ 36个月 ,平均 2 4个月均未复发。结论 :对肺部结节病灶 <15mm ,在抗炎 2～ 3周无效者 ,可采用胸腔镜确诊或进行肺叶切除 ,可达到早期诊断和治疗的目的。

Objective:To discuss the method of Video Assisted Thoracoscopy(VATS) in diagnosis and treatment of small peripheral lung neoplasm.Methods:A wedge-shaped excision with VATS had been performed on 20 patients with small peripheral lung neoplasm.The sample had been sent to pathology during surgery.Lobectomy was done with the malignant tumor.Results:14 cases(70%) were malignant in stage IA ,6 cases were benign.The mean follow-up time postoperatively was 24 months(12～36months),there was no relapse case.Conclusion:For those patients,the diameter of neoplasm is smaller than 15mm,and antibiotic treatment is ineffective for 2～3 weeks,VATS can be available for diagnosis and treatment.