摘要
目的分析在肺小结节病灶的治疗中应用全胸腔镜下解剖性肺段切除术的效果及安全性。方法依据纳排标准选取本院外一科2024年1月—2025年1月收治的20例肺部CT发现高危结节患者为研究对象,根据不同的手术方式划分为对照组(全胸腔镜下肺叶切除术)和实验组(全胸腔镜下解剖性肺段切除术),每组10例患者,对比两组患者的围术期指标、肺功能损伤、并发症发生情况。结果实验组患者的术中出血量显著更少、手术时间更短(P<0.05);术后实验组患者的用力肺活量、第1秒用力呼气容积/用力肺活量、最大呼气流速指标水平均显著低于对照组(P<0.05);实验组患者的并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论全胸腔镜下解剖性肺段切除术安全性较好,且能够有效降低肺小结节病灶治疗的并发症发生率,减少手术损伤。
Objective To analyze the effect and safety of total thoracoscopic anatomical pneumonectomy in the treatment of pulmonary nodules.Methods According to the nanodischarge criteria,20 patients with pulmonary CT findings from January 2024 to January 2025 were selected as the study object,which were divided into a control group(10 cases,total thoracoscopic lobectomy)and experimental group(10 cases,total thoracoscopic anatomical pulmonary resection)to compare the perioperative indicators,pulmonary function damage and complications of the two groups.Results The experimental group had significantly less intraoperative blood loss and shorter operation time(P<0.05);After operation,the forced vital capacity,forced expiratory volume in one second/forced vital capacity and maximum expiratory flow index levels of the experimental group were significantly lower than those of the control group(P<0.05);The incidence of complications in the experimental group was significantly lower than that in the control group,but there was no statistical significance(P>0.05).Conclusion Thoracoscopic anatomic segmentectomy is safe,and can effectively reduce the incidence of complications and surgical injury in the treatment of small pulmonary nodules.
作者
李新华
李吉
李长卿
Li Xinhua;LI Ji;LI Changqing(Radiology Department,Shijing People's Hospital,Baiyun District,Guangzhou,Guangdong 510430;First Department of Shijing People's Hospital,Baiyun District,Guangzhou,Guangdong 510430)
出处
《智慧健康》
2025年第15期48-51,共4页
Smart Healthcare
关键词
全胸腔镜下解剖性肺段切除术
肺小结节
临床效果
安全性
Total thoracoscopic anatomical pneumonectomy
Small pulmonary nodules
Clinical effect
Security
