全胸腔镜辅助下行解剖性肺段切除术治疗肺部小结节患者的临床效果  

Clinical effect of total thoracoscopic assisted anatomic segmentectomy in the treatment of patients with small pulmonary nodules

作　　者：李伟伟 刘鹏[1] 梁新月 张志斌[1] 席俊峰[1] LI Weiwei;LIU Peng;LIANG Xinyue;ZHANG Zhibin;XI Junfeng(the First Hospital of Yulin,Yulin 719000,China)

机构地区：[1]榆林市第一医院,陕西榆林719000

出　　处：《临床医学研究与实践》2023年第7期63-65,共3页Clinical Research and Practice

摘　　要：目的探究全胸腔镜辅助下行解剖性肺段切除术治疗肺部小结节患者的临床效果。方法回顾性选取2018年1月至2021年1月本院收治的78例肺部小结节患者为研究对象,根据手术方式的不同将其分为对照组和观察组,各39例。对照组进行常规手术治疗,观察组采用全胸腔镜辅助下行解剖性肺段切除术治疗。比较两组的治疗效果。结果观察组的手术时间、术中失血量、开始下床活动时间及住院时间均优于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。术后,观察组的用力肺活量(FVC)、第1秒用力呼气容积/用力肺活量(FEV_(1)/FVC)、最大呼气流速(PEF)均大于对照组(P<0.05)。术后,观察组的C反应蛋白(CRP)、皮质醇(Cor)、去甲肾上腺素(NE)水平均低于对照组(P<0.05)。结论全胸腔镜辅助下行解剖性肺段切除术对肺部小结节患者的治疗效果显著,可促进术后康复,改善肺通气功能,减轻机体术后的应激反应,提高手术的安全性。Objective To study the clinical effect of total thoracoscopic assisted anatomic segmentectomy in the treatment of patients with small pulmonary nodules.Methods Seventy-eight patients with small pulmonary nodules admitted in our hospital from January 2018 to January 2021 were retrospectively selected as the research objects and divided into control group and observation group according to the different surgical methods,with 39 cases in each group.The control group received conventional surgical treatment,and the observation group received total thoracoscopic assisted anatomic segmentectomy.The therapeutic effects of the two groups were compared.Results The operation time,intraoperative blood loss,time to get out of bed and hospitalization time in the observation group were better than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).After operation,forced vital capacity(FVC),forced expiratory volume in first second/forced vital capacity(FEV1/FVC)and peak expiratory flow(PEF)in the observation group were higher than those in the control group(P<0.05).After operation,the levels of C-reactive protein(CRP),cortisol(Cor)and norepinephrine(NE)in the observation group were lower than those in the control group(P<0.05).Conclusion Total thoracoscopic assisted anatomic segmentectomy has a significant therapeutic effect on patients with small pulmonary nodules,it can promote postoperative rehabilitation,ameliorate lung ventilation function,reduce postoperative stress response of the body,and improve the safety of operation.

关 键 词：全胸腔镜辅助下行解剖性肺段切除术 肺部小结节 肺功能 

分 类 号：R563[医药卫生—呼吸系统]