完全胸腔镜下解剖性肺段切除术与肺叶切除术治疗肺部小结节的临床效果对比  

Comparison on the Clinical Effects of Anatomic Segmentectomy and Anatomic Lobectomy Under Complete Thoracoscopy in the Treatment of Small Pulmonary Nodules

作　　者：王一鸣 李鹏飞[1] WANG Yiming;LI Pengfei(Department of Thoracic Surgery,Pingdingshan First People's Hospital,Pingdingshan 467000,China)

机构地区：[1]平顶山市第一人民医院胸外科,河南平顶山467000

出　　处：《临床医学工程》2024年第2期133-134,共2页Clinical Medicine & Engineering

摘　　要：目的 对比完全胸腔镜下解剖性肺段切除术与肺叶切除术治疗肺部小结节的临床效果。方法 60例肺部小结节患者随机分为两组各30例。研究组接受完全胸腔镜下解剖性肺段切除术,对照组接受完全胸腔镜下解剖性肺叶切除术。比较两组的手术指标及肺功能。结果 研究组的术中出血量少于对照组,手术时间、术后引流时间及术后住院时间均短于对照组(P <0.05)。术后6个月,研究组的FVC、 FEV_(1)、 MVV水平均高于对照组(P <0.05)。结论 与完全胸腔镜下解剖性肺叶切除术相比,完全胸腔镜下解剖性肺段切除术治疗肺部小结节患者的手术创伤较小,术后恢复较快,并且能更好地保留患者的肺功能。Objective To compare the clinical effects of anatomic segmentectomy and anatomic lobectomy under complete thoracoscopy in the treatment of small pulmonary nodules.Methods 60 patients with small pulmonary nodules were randomly divided into two groups,with 30 cases in each group.The study group received anatomic segmentectomy under complete thoracoscopy,and the control group received anatomic lobectomy under complete thoracoscopy.The surgical indicators and lung function were compared between the two groups.Results The intraoperative blood loss amount of the study group was less than that of the control group,and the operation time,postoperative drainage time and postoperative hospitalization time were shorter than those of the control group(P <0.05).At 6 months after surgery,the FVC,FEV_(1) and MVV levels of the study group were higher than those of the control group(P <0.05).Conclusions Compared with anatomic lobectomy under complete thoracoscopy,anatomic segmentectomy under complete thoracoscopy in the treatment of patients with small pulmonary nodules has less surgical trauma,faster postoperative recovery,and better preservation of patients' lung function.

关 键 词：肺部小结节 完全胸腔镜 肺段切除术 肺叶切除术 肺功能 

分 类 号：R563[医药卫生—呼吸系统]