CAJ | 학술논문

目的：对肺部小结节患者采用完全胸腔镜下肺段切除手术与肺叶切除手术治疗，观察和分析2组手术方式治疗的临床效果。方法选取2009年3月～2013年5月巴中市中心医院收治的肺部小结节患者40例，随机分为对照组(n=21)和治疗组(n=19)。对照组在完全胸腔镜下进行肺叶切除手术治疗，试验组在完全胸腔镜下行肺段切除手术治疗。结果经过手术治疗之后，试验组患者术中出血和术后引流时间及术后引流量、术中使用钉仓数量、平均住院时间要明显优于对照组，差异有统计学意义(P＜0.05)；2组手术时间及并发症等比较，差异无统计学意义。结论对肺部小结节患者采用完全胸腔镜下进行肺段切除手术治疗，能够有效地改善患者的症状，减轻患者的痛苦，值得临床推广应用。
목적：대폐부소결절환자채용완전흉강경하폐단절제수술여폐협절제수술치료，관찰화분석2조수술방식치료적림상효과。방법선취2009년3월～2013년5월파중시중심의원수치적폐부소결절환자40례，수궤분위대조조(n=21)화치료조(n=19)。대조조재완전흉강경하진행폐협절제수술치료，시험조재완전흉강경하행폐단절제수술치료。결과경과수술치료지후，시험조환자술중출혈화술후인류시간급술후인류량、술중사용정창수량、평균주원시간요명현우우대조조，차이유통계학의의(P＜0.05)；2조수술시간급병발증등비교，차이무통계학의의。결론대폐부소결절환자채용완전흉강경하진행폐단절제수술치료，능구유효지개선환자적증상，감경환자적통고，치득림상추엄응용。
Objective The small pulmonary nodules were treated by segmental completely thoracoscopic resection operation and lobectomy operation treatment, clinical observation and analysis of treatment group two operation mode.Methods The hospital treated 40 cases of small pulmonary nodule patients, grouped according to the random number table method, divided into the control group (n=21) and the treatment group (n=19). Control group:lobectomy operation treatment in completely thoracoscopic resection operation;experimental group:treatment in completely thoracoscopic lung segment.Results After operation treatment,experimental group with intraoperative bleeding and postoperative drainage time,postoperative drainage volume, intraoperative use of nail warehouse number,average hospitalization time is obviously better than the control group,the difference was signiifcant, with statistical signiifcance (P<0.05).But the two groups of patients with operation time and complications were compared, the difference was not statistically signiifcant.Conclusion In clinic, the small pulmonary nodules in patients with completely thoracoscopic lung resection operation treatment,can effectively improve the patient's symptoms, reduce the pain of patients, is worthy of promotion and application in clinical.