首页|胸腔镜下亚肺叶切除术和肺叶切除术对肺部结节患者生活质量及预后情况的影响

胸腔镜下亚肺叶切除术和肺叶切除术对肺部结节患者生活质量及预后情况的影响

扫码查看
目的:分析胸腔镜下亚肺叶切除术和肺叶切除术对肺部结节患者生活质量及预后情况的影响.方法:选取2021年1月~2023年12月在本院经CT检查确诊的44例肺部结节患者,按照术式分为对照组(n=21,胸腔镜下肺叶切除术)和观察组(n=23,胸腔镜下亚肺叶切除术).比较两组手术效果.结果:观察组患者各手术指标均优于对照组(P<0.05);术前,两组患者生理机能、躯体功能、社会功能、精神状态评分组间比较P>0.05;术后,较对照组,观察组生理机能、躯体功能、社会功能、精神状态均较高,组间比较P<0.05;术后并发症方面,观察组患者的总发生率较对照组低,组间比较P<0.05.结论:肺部结节患者采取胸腔镜下亚肺叶切除术、肺叶切除术均可以有效切除结节、病灶组织,但是胸腔镜下亚肺叶切除术的创伤性更小,可更好地保护患者肺功能,预防并发症发生,在缩短治疗时间的同时提高患者生活质量.
Effects of Thoracoscopic Sublobar Resection and Lobectomy on the Quality of Life and Prognosis of Patients with Pulmonary Nodules
Objective:To analyze the effects of thoracoscopic sublobar resection and lobectomy on the quality of life and prognosis of patients with pulmonary nodules. Methods:A total of 44 patients with pulmonary nodules diagnosed by CT examination in our hospital from January 2021 to December 2023 were selected and divided into a control group (n=21,thoracoscopic lobectomy) and an observation group (n=23,thoracoscopic sublobar resection) according to the surgical procedure. The surgical effects of the two groups were compared. Results:The surgical outcomes of patients in the observation group were superior to those in the control group (P<0.05). Preoperatively,there was no significant difference between the two groups in terms of physiological function,physical function,social function,and mental status scores (P>0.05). Postoperatively,compared to the control group,the observation group showed higher scores in physiological function,physical function,social function,and mental status (P<0.05). Regarding postoperative complications,the observation group had a lower overall incidence rate compared to the control group (P<0.05). Conclusion:Both thoracoscopic sublobar resection and lobectomy can effectively remove nodules and lesions in patients with pulmonary nodules. However,thoracoscopic sublobar resection is less invasive and can better protect the patient's lung function,prevent complications,and improve the patient's quality of life while shortening the treatment time.

thoracoscopysublobar resectionlobectomyppulmonary nodulesquality of lifeprognosis

陈剑明、王芳

展开 >

肇庆市第二人民医院心胸外科,广东肇庆 526060

胸腔镜 亚肺叶切除术 肺叶切除术 肺部结节 生活质量 预后情况

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)