全胸腔镜肺节段切除术和肺叶切除术治疗肺小结节

Yu Zhou
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引用次数: 0

摘要

目的:比较胸腔镜下全肺段切除术与肺叶切除术治疗肺结节的临床疗效。方法:本研究于2019年1月至2021年6月在南京中医药大学附属常熟医院对176例肺结节患者进行治疗;根据手术类型,将患者分为A组(完全胸腔镜肺段切除术)和B组(完全胸镜肺叶切除术),并对其临床效果进行分析。结果:A组患者术中出血量、术后引流量、住院天数、肺功能均明显优于B组(P<0.05),但淋巴结清扫数无显著差异。结论:胸腔镜下肺小结节全切除术的临床疗效更显著;它不仅保证了淋巴结清扫,而且提高了手术相关指标和治疗安全性,加快了肺功能的恢复。其临床应用价值值得医疗机构重点分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complete Thoracoscopic Segmentectomy and Pulmonary Lobectomy in the Treatment of Small Pulmonary Nodules
Objective: To compare the clinical effect of complete thoracoscopic segmentectomy and pulmonary lobectomy for pulmonary nodules. Methods: In this study, 176 patients with pulmonary nodules were treated in Changshu Hospital Affiliated to Nanjing University of Chinese Medicine from January 2019 to June 2021; according to the type of surgery, the patients were divided into group A (complete thoracoscopic segmentectomy) and group B (complete thoracoscopic pulmonary lobectomy), and the clinical effects were analyzed. Results: The intraoperative blood loss, postoperative drainage volume, postoperative hospitalization days, and lung function of patients in group A were significantly better than those in group B (P < 0.05), while there was no significant difference in the number of dissected lymph nodes. Conclusion: The clinical effect of complete thoracoscopic segmentectomy for patients with small pulmonary nodules is more significant; it does not only ensure lymph node dissection, but also improve surgical-related indicators and treatment safety as well as speed up the recovery of pulmonary function. Its clinical application value is worthy of key analysis by medical institutions.
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