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胸腔镜无引流管置入术治疗周围型肺结节的疗效分析
作者:李阳  周强  苏涛  文建军 
单位:乐山市市中区人民医院 胸外科, 四川 乐山 614000
关键词:胸腔镜无引流管置入术 周围型肺结节 疗效分析 
分类号:R734.2
出版年·卷·期(页码):2022·50·第九期(1133-1137)
摘要:

目的:探讨胸腔镜无引流管置入术治疗周围型肺结节的疗效。方法:选取110例于本院2019年1月至2021年1月通过单孔胸腔镜楔形切除术治疗的周围型肺结节患者,在关闭伤口之前确认没有漏气后,根据随机分组原则,分成引流组(n=51)和不引流组(n=51)进行意向治疗分析。综合评估两组患者住院时间和治疗效果。结果:与引流组相比,不引流组患者术后住院时间较短[(1.2±0.5) d vs.(2.6±0.9) d,P<0.05];手术时间较短[(59.0±15.8) min vs.(73.7±26.6) min,P<0.05],术后第1天疼痛减轻[(0.9±0.7)分vs.(1.3±0.9)分,P<0.05]。在不引流组中,术后6 h有31例(60.8%)患者、第1天有18例(35.3%)患者和术后10~14 d有1例(2%)患者出现残留气胸。与引流组相比,不引流组的医疗费用也显著降低(P<0.001)。结论:对于周围型肺结节患者,不带引流的单孔胸腔镜楔形切除术是可行且安全的。

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