2015 年第 1 期 第 13 卷

开胸和单孔胸腔镜治疗孤立性肺结节的临床对比分析

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关键词：单孔胸腔镜孤立性肺结节临床分析

• 摘要：
• 【摘要】目的：研究孤立性肺结节（SPN）运用单孔胸腔镜治疗的临床效果。方法：选择我院2012年3月~2014年3月间胸外科诊治的100例孤立性肺结节患者，根据手术方法不同将其分为两组，对照组的50例患者实施开胸（TH）手术，观察组的50例患者实施单孔胸腔镜治疗手术，比较两组患者的手术效果、两组患者手术时间、术中出血量、术后胸腔引流管留置时间以及术后住院时间。结果：通过对两组患者手术进行比较，观察组患者术中以及术后未见有严重并发症出现，对照组患者术后1例由于呼吸功能衰竭最终死亡。两组患者孤立性肺结节性质未见明显差异，无统计学意义（P>0.05）。在实施肺楔形切除的患者中，观察组患者的手术时间、术后引流管留置时间以及术后住院时间明显比对照组时间短，两组患者差异显著，有统计学意义（P<0.05）；观察组患者术中失血量明显比对照组少，两组患者差异显著，有统计学意义（P<0.05）。结论：对于孤立性肺结节诊断和治疗时运用单孔胸腔镜治疗的临床效果显著，与开胸手术相比具有手术所需时间短、术中出血量少、术后恢复较快等多种优势，而且对患者来说创伤性小、操作安全可靠，更容易接受，值得在临床上推广使用。
• Objective: To study the solitary pulmonary nodule (SPN) using single-hole thoracoscopic treatment of clinical effect. Methods: Hospital between March 2012 - March 2014 100 cases of solitary pulmonary nodule diagnosis and treatment of patients with thoracic surgery, according to the different surgical methods will be divided into two groups of 50 patients in the control group implemented thoracotomy (TH ) surgery, 50 patients in the observation group in the implementation of the single-hole thoracoscopic surgeries, surgical results comparing the two groups of patients, two groups of patients operative time, blood loss, postoperative chest tube indwelling time and postoperative hospital stay. Results: The two groups of patients were compared surgery, intraoperative and postoperative patients in the observation group and no serious complications, patients in the control group 1 cases due to respiratory failure and ultimately death. Two groups of patients the nature of solitary pulmonary nodules no significant difference was not statistically significant (P> 0.05). In patients with pulmonary wedge resection of the implementation, the observation group were operative time, postoperative drainage tube indwelling time and postoperative hospital stay was significantly shorter time than the control group, a significant difference between the two groups was statistically significant (P <0.05); intraoperative blood loss in patients in the observation group was significantly less than the control group, the two groups were significantly different, statistically significant (P <0.05). Conclusion: For the solitary pulmonary nodule diagnosis and treatment of clinical results when using single-hole thoracoscopic treatment significantly, compared with thoracotomy have required shorter operative time, less blood loss, faster recovery after surgery and other advantages, but also for patients with traumatic small, safe and reliable, easier to accept and should be introduced in clinical practice.