不同膨胀萎陷法在锥式肺深部结节手术中的应用效果对比

摘要/Abstract

摘要： 目的探讨与对比不同膨胀萎陷法在锥式肺深部结节手术中的应用效果。方法选择2019年5月~2022年5月陕西省安康市中心医院收治的锥式肺深部结节患者84例作为研究对象,根据随机1∶1抽签原则把患者分为研究组与对照组,各42例。对照组采用传统膨胀萎陷法解剖性肺段切除术,研究组采用改良膨胀萎陷法解剖性肺段切除术,记录与观察两组患者预后情况。结果两组淋巴结清扫数目、手术时间对比,差异无统计学意义（P>0.05）,研究组的术后住院时间、术中出血量明显少于对照组（P<0.05）。研究组术后7 d的肺漏、肺部感染、肺不张、切口感染等并发症发生率明显低于对照组（P<0.05）。两组术后3个月的用力肺活量占预计值的百分比（FVC%）、第一秒用力呼气容积占预计值百分比（FEV1%）都明显高于术前1 d（P<0.05）,研究组与对照组相比也明显提高（P<0.05）。研究组术后3个月的活力、生理职能、情感职能、躯体疼痛、社会功能、总体健康、情感职能、心理健康等生活质量评分明显高于对照组（P<0.05）。结论改良膨胀萎陷法解剖性肺段切除术在锥式肺深部结节手术中的应用能促进患者康复,促进改善患者的肺功能,减少并发症的发生,提高患者的生活质量。

关键词: 膨胀萎陷法, 解剖性肺段切除术, 锥式肺深部结节, 肺功能, 生活质量

Abstract: Objective To explore and compare the application effects of different inflation and collapse methods in the operation of cone deep nodules. Methods From May 2019 to May 2022, 84 cases of patients with deep conical lung nodules who were treated in Ankang Central Hospital of Shaanxi Province were selected as the research subjects, and the patients were divided into the study group and the control group with 42 cases in each group according to the principle of random 1:1 drawing. The control group was treated with traditional inflation-collapse anatomical segmentectomy, while the study group was treated with modified inflation-collapse anatomical segmentectomy. The prognosis of the patients was recorded and observed. Results There was no statistical significant difference in the number of lymph nodes dissected and operation time compared between the two groups (P>0.05). The postoperative hospital stay and intraoperative blood loss in the study group were significantly less than those in the control group (P<0.05). The incidence rates of complications such as pulmonary leakage, pulmonary infection, atelectasis, and incision infection in the study group at 7 days after operation was significantly lower than that in the control group (P<0.05). The percentage of forced vital capacity (FVC%) and forced expiratory volume in 1 second as a percentage of predicted (FEV1%) in the two groups at 3 months after operation were significantly higher than 1 day before surgery (P<0.05), and the study group was also significantly higher than the control group (P<0.05). The life quality scores of vitality, physiological function, emotional function, physical pain, social function, general health, emotional function and mental health in the study group were significantly higher than those in the control group 3 months after operation (P<0.05). Conclusion The application of modified inflation-collapse anatomical segmentectomy in cone-type deep lung nodule surgery can promote the recovery of patients, reduce the occurrence of complications, improve the lung function of patients, and improve the quality of life of patients.

Key words: inflation and collapse method, anatomical segmentectomy, deep cone nodules, pulmonary function, quality of life

中图分类号:

R734.2

张小康, 余忠林, 朱亚男. 不同膨胀萎陷法在锥式肺深部结节手术中的应用效果对比[J]. 中华养生保健, 2022, 40(24): 55-58.

ZHANG Xiao-kang, YU Zhong-lin, ZHU Ya-nan. Comparison of Application Effects of Different Inflation and Collapse Methods in Cone-Type Deep Lung Nodule Surgery[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(24): 55-58.

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