【摘要】 目的分析肺部直径小于2.0 cm结节病灶的术后疗效。方法对我院收治的62例直径小于2.0 cm肺部结节的患者采用胸腔镜辅助小切口开胸方法进行手术治疗,术中送冰冻切片病理检查,根据病理结果选择不同手术方式,对结节所在肺组织进行切除,并对患者进行3年随访。结果 62例患者中恶性肿瘤36例,占58.1%,行VATS辅助小切口下行肺叶切除及纵隔淋巴结清扫;炎性假瘤13例,占20.9%,行肺楔形切除术;结核球10例,占27.8%,行肺楔形切除术;肺大疱2例,占3.2%,行肺大疱结扎术;肺囊肿1例,占1.6%行病灶处肺叶切除。患者无围手术期死亡,未出现严重的手术并发症,术后随访良性病变者术后长期生存,无复发,无后遗症。结论电视胸腔镜手术具有创伤小,疼痛轻,对肺功能损害小,术后恢复快、不良反应少等优点。更多还原

【Abstract】 Objective To analyze the postoperative curative effect of video-assisted thoracoscopy in the treatment of patients with pulmonary nodules which diameter was less than 2.0 cm.Methods 62 patients with pulmonary nodules which diameter was less than 2.0 cm were treated with thoracoscopy assisted small incision thoracotomy surgery.Their sections were frozen to find out the pathological mechanism.Those patients were followed up 3 years.Results 36 cases were malignant tumors,which was accounting for 58.1% and given VATS assisted small incision pulmonary lobectomy and mediastinal lymph node dissection.13 cases were inflammatory pseudotumors,which took up 20.9% and were treated with wedge resection of lung.10 cases were tuberculoma,which were also treated with wedge resection of lung.2 cases were bullae of lung and treated with ligation.1 case was pulmonary cyst and given pulmonary lobectomy.There was no perioperative death and serious complications reported.The benign patients had a long-term survival without recurrence and sequelae postoperatively.The 5-year survival rate of the malignancy group was 56.3%.Conclusion Video assisted thoracic operation has the advantages of light trauma,pain and impairment of lung function,rapid postoperative recovery,and few adverse reactions.更多还原