完全胸腔镜下解剖性肺段切除术与肺叶切除术治疗肺部小结节的临床效果对比OA

Objective To compare the clinical effects of anatomic segmentectomy and anatomic lobectomy under complete thoracoscopy in the treatment of small pulmonary nodules.Methods 60 patients with small pulmonary nodules were randomly divided into two groups,with 30 cases in each group.The study group received anatomic segmentectomy under complete thoracoscopy,and the control group received anatomic lobectomy under complete thoracoscopy.The surgical indicators and lung function were compared between the two groups.Results The intraoperative blood loss amount of the study group was less than that of the control group,and the operation time,postoperative drainage time and postoperative hospitalization time were shorter than those of the control group(P<0.05).At 6 months after surgery,the FVC,FEV1 and MVV levels of the study group were higher than those of the control group(P<0.05).Conclusions Compared with anatomic lobectomy under complete thoracoscopy,anatomic segmentectomy under complete thoracoscopy in the treatment of patients with small pulmonary nodules has less surgical trauma,faster postoperative recovery,and better preservation of patients'lung function.