超细支气管镜用于电视胸腔镜下肺部小结节切除术的 临床效果分析  

Clinical Effect Analysis of Ultrafine Bronchoscopy for Video-assisted Thoracoscopic Resection of Small Pulmonary Nodules

作　　者：张进良 苏旭斌 ZHANG Jinliang;SU Xubin(The Second People's Hospital of Gansu Province,Lanzhou 730000,China)

机构地区：[1]甘肃省第二人民医院,甘肃兰州730000

出　　处：《中外医学研究》2025年第8期111-114,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析超细支气管镜用于电视胸腔镜下肺部小结节切除术的临床效果。方法:回顾性分析2021年1月—2024年1月于甘肃省第二人民医院行电视胸腔镜下肺部小结节切除术90例患者的临床资料,术中使用超细支气管镜的患者纳入观察组(n=48),术中未使用超细支气管镜的患者纳入对照组(n=42)。对比两组结节定位情况、围手术期指标(手术时间、术中出血量、术后引流量、术后引流管留置时间、术后住院时间)、肺功能指标[用力肺活量(FVC)、每分钟最大通气量(MVV)、第1秒用力呼气容积(FEV_(1))]、应激指标[肾上腺素(E)、皮质醇(Cor)]、术后疼痛程度及并发症发生情况。结果:两组结节定位成功率、围手术期指标、术后不同时间视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05)。两组手术前后肺功能指标、应激指标比较,差异无统计学意义(P>0.05);但两组术后肺功能指标较术前降低,应激指标较术前升高,差异有统计学意义(P<0.05)。对照组并发症总发生率为9.52%(4/42),与观察组的4.17%(2/48)比较,差异无统计学意义(P>0.05)。结论:超细支气管镜用于电视胸腔镜下肺部小结节切除术的定位效果、手术创伤及对应激反应、肺功能的影响与亚甲蓝注射相当。Objective:To analyze the clinical effect analysis of ultrafine bronchoscopy for video-assisted thoracoscopic resection of small pulmonary nodules.Method:The clinical data of 90 patients who underwent video-assisted thoracoscopic resection of small pulmonary nodules in the Second People's Hospital of Gansu Province from January 2021 to January 2024 were retrospectively analyzed,patients who used ultrafine bronchoscope during operation were included in the observation group(n=48),and patients who did not use ultrafine bronchoscope during operation were included in the control group(n=42).The nodule location,perioperative indicators(operation time,intraoperative blood loss,postoperative drainage volume,postoperative drainage tube indwelling time,postoperative hospital stay),pulmonary function indicators[forced vital capacity(FVC),maximum ventilation per minute(MVV),forced expiratory volume in one second(FEV_(1))],stress indicators[epinephrine(E),cortisol(Cor)],postoperative pain and complications were compared between two groups.Result:There were no significant differences in the success rate of nodule location,perioperative indexes and visual analogue scale(VAS)scores at different time after operation between two groups(P>0.05).There were no significant differences in the pulmonary function indicators and stress indicators between two groups before and after operation(P>0.05);however,the pulmonary function indexes of two groups after operation were lower than those before operation,and the stress indexes were higher than those before operation,the differences were statistically significant(P<0.05).The total incidence of complications in the control group was 9.52%(4/42),compared with 4.17%(2/48)in the observation group,the difference was not statistically significant(P>0.05).Conclusion:The positioning effect,surgical trauma,stress response and pulmonary function of ultrafine bronchoscopy for video-assisted thoracoscopic resection of small pulmonary nodules are comparable to those of Methylene Blue injection.

关 键 词：肺部小结节 电视胸腔镜 超细支气管镜 肺部小结节切除术 

分 类 号：R655.3[医药卫生—外科学]