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目的探讨电视胸腔镜辅助小切口诊治肺部结节病变的价值。方法 30例肺部结节病变患者,根据病理结果对患者的肺部结节病变性质进行划分,包括良性病变患者8例、恶性病变患者22例。均以电视胸腔镜辅助小切口治疗术进行治疗,并对治疗效果进行分析。结果 22例恶性病变患者中,18例为原发性肺癌患者,以胸腔镜辅助小切口肺癌根治术进行治疗;4例患者出现转移,以胸腔镜辅助小切口病灶切除术进行治疗。8例良性患者中,对其实施病灶切除术。对患者进行后期随访,原发癌患者的平均随访时间为(7.1±1.3)个月,随访结果为无瘤生存患者17例,仅1例患者术后5个月时出现复发情况。4例转移患者随访时间为1~6个月,在随访期间内死亡。良性肿瘤患者中,进行为期6~12个月的随访,未发现复发情况。结论以电视胸腔镜辅助小切口诊治肺部结节病变具有较高的临床价值,临床上可推广应用。
Objective To investigate the value of video-assisted thoracoscopic assisted small incision in diagnosis and treatment of pulmonary nodules. Methods Thirty patients with pulmonary nodules were divided according to their pathological findings, including 8 patients with benign lesions and 22 patients with malignant lesions. Video-assisted thoracoscopic assisted small incision treatment was performed, and the treatment effect was analyzed. Results Of the 22 patients with malignant lesions, 18 were primary lung cancer patients undergoing thoracoscopic assisted small incision lung cancer radical surgery. Four patients had metastases and were treated by thoracoscope assisted small incision resection. 8 cases of benign patients, the implementation of focal resection. The patients were followed up for a median follow-up of 7.1 ± 1.3 months. The follow-up results were 17 patients with disease-free survival. Only 1 patient recurred at 5 months after operation. Four patients with metastasis were followed up for 1 to 6 months and died during the follow-up period. Among patients with benign tumors, patients were followed up for 6 to 12 months and no recurrence was found. Conclusions Video-assisted thoracoscopic assisted diagnosis and treatment of pulmonary nodules with small incision has high clinical value, which can be applied clinically.