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目的:探讨孤立性肺结节患者通过胸腔镜的手术方式和传统的开胸手术方式治疗后的疗效比较。方法:选取我院2010年10月-2015年10月就治经胸片、胸部CT发现的肺部孤立性结节患者20例,随机分组法分为观察组(胸腔镜手术组)和对照组(开胸手术组)各10人,针对患者手术中各项临床数据、术后并发症发生概率(伤口发炎感染率、泌尿感染率)等方面,对两组进行对比。结果:观察组患者平均住院时间、手术时间、拔除尿管所需时间以及手术伤口的长度、手术中总出血量等方面均优于对照组,差异均较显著(P<0.05);观察组术后并发症发生概率相比于对照组的术后并发症发生概率明显降低(P<0.05)。结论:针对孤立性肺结节患者的治疗,胸腔镜手术和传统的开胸手术相对比,前者手术临床效果更好,术后并发症发生率更低,适于临床推广应用。
Objective: To investigate the efficacy of thoracoscopic surgery and traditional thoracotomy in patients with solitary pulmonary nodules. Methods: From October 2010 to October 2015, 20 cases of solitary pulmonary nodules treated by chest radiography and chest CT were selected and randomly divided into observation group (thoracoscope surgery group) and control group (Thoracotomy group) of 10 people, for the clinical data in patients with surgery, the incidence of postoperative complications (wound infection rate, urinary tract infection rate) and other aspects of the two groups were compared. Results: The average length of hospital stay, operation time, the time required to remove the catheter, the length of the surgical wound and the total amount of bleeding in the operation group were better than those in the control group (P <0.05). The observation group The incidence of postoperative complications was significantly lower than that of the control group (P <0.05). Conclusion: For the treatment of patients with solitary pulmonary nodules, thoracoscope surgery and traditional thoracic surgery compared to the former clinical effect is better, the incidence of postoperative complications is lower, suitable for clinical application.