开胸术和单孔胸腔镜治疗孤立性肺结节的临床对比分析  

Clinical comparative analysis of single-port video-assisted thoracoscopic surgery and open thoracotomy in the treatment of solitary pulmonary nodules

作　　者：李贲[1] 王云[1] 郭志敏[1] 周斌[1] 宫强[1] 王琳[2] 董志伟[3] 

机构地区：[1]保定市第三医院(肿瘤医院)胸外科,河北保定071000 [2]保定市第三医院(肿瘤医院)肺三科,河北保定071000 [3]保定市第三医院(肿瘤医院)放疗科,河北保定071000

出　　处：《癌症进展》2015年第1期66-68,共3页Oncology Progress

摘　　要：目的研究单孔胸腔镜治疗孤立性肺结节(solitary pulmonary nodule,SPN)的临床效果。方法选择2012年3月至2014年3月我院胸外科诊治的100例孤立性肺结节患者,根据手术方法不同将其分为两组,对照组50例患者予开胸术治疗(肺楔形切除术),观察组50例患者予单孔胸腔镜术治疗,比较两组患者的手术效果、手术时间、术中出血量、术后胸腔引流管留置时间及术后住院时间。结果观察组患者术中、术后未出现严重并发症,对照组1例患者术后死于呼吸衰竭。两组患者SPN性质的差异无统计学意义(P>0.05)。与对照组相比,观察组患者的手术时间、术后引流管留置时间及术后住院时间更短,术中失血量更少,两组比较差异均有统计学意义(均P<0.05)。结论与开胸手术相比,单孔胸腔镜治疗SPN的疗效明显,具有手术所需时间更短、术中出血量更少、术后恢复较快等优势,且其创伤性小、操作安全可靠,更容易被接受。Objective To explore the clinical effect of the single- port video assisted thoracoscopic surgery （VATS） for solitary pulmonary nodule （SPN）. Method From March 2012 to March 2014, 100 patients with SPN treated in our hospital were involved and divided into control group （50 cases, pulmonary wedge resection） or obser-vation group （50 cases, single-port VATS） by different treatment. The operation time, blood loss, postoperative thorac-ic drainage time and hospital stay results were compared. Result No serious complications occurred in the observa-tion group, while there was 1 death due to respiratory failure in control group. The characteristics of SPN of the two groups were not significantly different （P〉0.05）. The operation time, postoperative thoracic drainage time, and hospi-tal stay, as well as the intraoperative blood loss of the observation group were all significantly shorter than that of control group （all P〈0.05）. Conclusion Compared with open thoracotomy, single- port VATS is advantageous in terms of operation time, blood loss, and postoperative recovery as a safe, reliable, and less traumatic operation mode.

关 键 词：单孔胸腔镜 孤立性肺结节 临床分析 

分 类 号：R730.5[医药卫生—肿瘤]