电视胸腔镜手术在孤立性肺结节诊断和治疗中的价值  

Value of video-assisted thoracoscopic surgery in diagnosis and treatment of solitary pulmonary nodule

作　　者：王文[1,2] 杨劲松[2] 张志功[2] 周亚夫[2] 刘一骐[2] 周庆[2] 

机构地区：[1]中南大学湘雅医学院,湖南 ·长沙410005 [2]湖南省人民医院心胸外科,湖南 ·长沙410005

出　　处：《临床心身疾病杂志》2015年第5期8-10,共3页Journal of Clinical Psychosomatic Diseases

基　　金：湖南省科学技术厅科技计划项目（编号2013SK3197）

摘　　要：目的：探讨电视胸腔镜手术在孤立性肺结节诊治中的价值。方法对43例行电视胸腔镜手术（A 组）治疗和42例行常规开胸手术（B 组）治疗的孤立性肺结节患者的临床资料进行回顾性分析。结果两组患者手术均获得成功，无围术期死亡。 A 组患者在切口长度、术后止痛药物用量等方面优于 B 组，在手术时间、术中出血量、术后胸腔引流时间、淋巴结清扫数量，并发症发生率等方面与 B 组比较差异无显著性。结论应用电视胸腔镜手术诊治孤立性肺结节减少了创伤和疼痛等不适，并且手术效果良好。Objective To explore the value of video‐assisted thoracoscopic surgery （VATS） in diagnosis and treatment of solitary pulmonary nodule （SPN） .Methods Clinical data of 43 SPN patients undergoing VATS （group A） and 42 ones doing thoracotomy （group B） were retrospectively analyzed .Results Oper‐ations of both groups were successful ,there was no perioperative death .Group A had an advantage in length of incision and post‐operative antalgesic dosage over B ,there were no significant group differences in duration of operation ,intraoperative blood loss ,post‐operative chest drainage time ,number of lymph node cleaning and incidences of complications .Conclusion VATS applications in SPN diagnosis and treat‐ment reduce such discomfort as wound ,pain and so on and have better operation effect .

关 键 词：孤立性肺结节 电视胸腔镜手术 胸腔镜外科 开胸手术 肺癌 

分 类 号：R655[医药卫生—外科学]