摘要
目的分析胸腔镜下微创肺段切除术治疗肺部磨玻璃样结节的效果。方法抽取2020年4月至2021年4月南阳市中心医院收治的肺部磨玻璃结节患者150例,按随机数字表法分为肺段切除组与肺叶切除组,每组75例。肺叶切除组采用胸腔镜下肺叶切除术,肺段切除组采用胸腔镜下微创肺段切除术。比较两组围术期情况(手术时间、术中出血量、留置引流管时间、住院时间)、肺功能[最大每分钟通气量(MVV)、最大肺活量(FVC)]、术后疼痛度及并发症发生率。结果肺段切除组手术时间长于肺叶切除组,术中出血量少于肺叶切除组,留置引流管时间、住院时间短于肺叶切除组(P<0.05)。术后6个月,肺段切除组MVV、FVC高于肺叶切除组(P<0.05)。术后1、3、5 d,肺段切除组VAS评分低于肺叶切除组(P<0.05)。肺段切除组并发症发生率(2.67%,2/75)低于肺叶切除组(12.00%,9/75),差异有统计学意义(P<0.05)。结论胸腔镜下微创肺段切除术治疗肺部磨玻璃样结节患者,可减轻疼痛,改善肺功能,降低并发症发生率,加快患者术后恢复。
Objective To analyze the effect of minimally invasive thoracoscopic segmentectomy in the treatment of pulmonary ground-glass nodules.Methods A total of 150 patients with pulmonary ground-glass nodules treated in Nanyang Central Hospital from April 2020 to April 2021 were selected,and they were divided into segmentectomy group and lobectomy group according to the random number table method,with 75 cases in each group.The lobectomy group underwent thoracoscopic lobectomy,and the segmentectomy group was treated by minimally invasive thoracoscopic segmentectomy.The perioperative conditions(operation time,intraoperative blood loss,indwelling time of drainage tube and hospital stay),lung function assessed by maximal minute ventilation volume(MVV)and forced vital capacity(FVC),postoperative pain,and incidence of complication were compared between the two groups.Results The segmentectomy group had longer operation time,less intraoperative blood loss,shorter indwelling time of drainage tube and shorter hospital stay,compared with the lobectomy group(P<0.05).Six month after operation,MVV and FVC in the segmentectomy group were higher than those in the lobectomy group(P<0.05).The VAS score in the segmentectomy group was lower than that in the lobectomy group 1,3 and 5 days after operation(P<0.05).The incidence of complications in the segmentectomy group(2.67%,2/75)was lower than that in the lobectomy group(12.00%,9/75),P<0.05.Conclusions Minimally invasive thoracoscopic segmentectomy,in the treatment of pulmonary ground-glass nodules,can relieve pain,improve lung function,reduce incidence of complications,and accelerate postoperative recovery.
作者
王志宏
杨光辉
常金明
罗文卿
李冰
田君娜
张苗苗
董新伟
Wang Zhihong;Yang Guanghui;Chang Jinming;Luo Wenqing;Li Bing;Tian Junna;Zhang Miaomiao;Dong Xinwei(Lung Ward of Department of Thoracic Surgery,Nanyang Central Hospital,Nanyang 473000,China)
出处
《中国实用医刊》
2024年第2期31-33,共3页
Chinese Journal of Practical Medicine
关键词
肺结节
胸腔镜下微创肺段切除术
胸腔镜下肺叶切除术
Pulmonary nodule
Minimally invasive thoracoscopic segmentectomy
Thoracoscopic lobectomy