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中国癌症防治杂志

中国癌症防治杂志

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孤立性肺结节电视辅助胸腔镜手术的临床研究

高春民;左传田;李守波;钱立宇;谭军涛;   

  1. 广西医科大学研究生学院;广西医科大学肿瘤医院胸外科;山东省潍坊市滨海经济开发区人民医院;
  • 收稿日期:2010-06-25 修回日期:2010-06-25 出版日期:2010-06-25 发布日期:2010-06-25

Clinical study of video-assisted thoracoscopic surgery on patients with solitary pulmonary nodule

GAO Chun-min1,ZUO Chuan-tian2,LI Shou-bo3,et al.   

  1. (1Guangxi Medical University,Nanning 530021,China
  • Received:2010-06-25 Revised:2010-06-25 Online:2010-06-25 Published:2010-06-25

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被引次数

6

摘要： 目的对不明性质的孤立性肺结节(SPA)通过行VATS和常规剖胸探查术的比较,探讨VATS在该类疾病诊治上的优越性。方法回顾性比较分析我院149例临床诊断为SPA且均未获得明确病理诊断的患者,分别接受VATS和常规剖胸探查手术。结果两组患者的人均镇痛次数、胸管留置时间、胸腔引流量、术后住院时间、肺叶切除术的手术时间和住院总费用等差异均有统计学意义(P<0.05)。两组的术中出血量、肺楔形切除术的手术时间差异无统计学意义(P>0.05)。所有病例都获得病理确诊。结论对于SPN疾病,VATS是值得进一步推广的一种手术方式。

关键词: 孤立性肺结节, VATS, 手术

Abstract: Objectives To show the advantage of video-assisted thoracoscopic surgery(VATS)compared with routine exploratory thoracotomy in diagnosis and therapy of indefinite pulmonary solitary nodule(SPN).Methods A retrospective study was performed on 149 cases that were treated in this hospital.All of the patients were without pathologically diagnosed SPN before undergoing thoracoscopy or thoracotomy.Results All patients received lung biopsies and were diagnosed pathologically.There were significant differences between VATS and routine thoracotomy in the average time of analgesis,the duration of chest tube drainage,the total volume of chest tube drainage,the days of hospitalization after operation,the operation minutes of lung lobectomy and the cost of hospitalization.The volume of blood in operation and the operation minutes of wedge resection of lung had no significant difference between the two groups.Conclusions VATS is effective and should be promoted to further apply on the patients with SPN.

Key words: Solitary pulmonary nodule, Video-assisted thoracoscopic surgery, Opration