胸腔镜肺段或肺叶切除术治疗肺磨玻璃结节的比较研究
发布时间：2018-11-21 10:31
【摘要】：目的探讨胸腔镜下解剖性肺段或肺叶切除术诊治肺磨玻璃结节(ground-glass nodule,GGN)的安全性及近期疗效。方法回顾性分析2011年9月~2015年6月我科48例肺段或肺叶切除治疗肺GGN的临床资料,如病灶满足以下条件之一,周围型≤2 cm,为纯磨玻璃结节或CT显示磨玻璃样成分≥50%,CT随诊证实肿瘤倍增时间≥400 d,则行肺段切除术,反之则行肺叶切除术。结果行胸腔镜肺段切除23例,胸腔镜肺叶切除25例。肺段、肺叶切除术手术时间分别为(148.3±25.6)、(110.6±23.1)min(t=5.364,P=0.000),术后住院时间(7.1±1.2)、(9.5±1.7)d(t=-5.605,P=0.000)。术后病理:肺叶切除组恶性23例,良性2例,肺段切除组恶性18例,良性5例。术后1年肺段、肺叶切除术的Karnofsky日常状态评分分别为(93.7±8.5)、(80.3±11.1)分(t=4.665,P=0.000)。41例恶性病例术后随访1~5年,未发现肿瘤复发转移、死亡。结论全胸腔镜解剖性肺段切除治疗肺GGN安全、可行,且术后恢复快,生活质量高。
[Abstract]:Objective to evaluate the safety and efficacy of thoracoscopic dissecting segmental or lobectomy in the diagnosis and treatment of ground-glass nodule,GGN. Methods the clinical data of 48 cases of pulmonary GGN treated by segmental or lobectomy from September 2011 to June 2015 were retrospectively analyzed. If the lesion satisfied one of the following conditions, the peripheral type 鈮，
本文编号：2346717
[Abstract]:Objective to evaluate the safety and efficacy of thoracoscopic dissecting segmental or lobectomy in the diagnosis and treatment of ground-glass nodule,GGN. Methods the clinical data of 48 cases of pulmonary GGN treated by segmental or lobectomy from September 2011 to June 2015 were retrospectively analyzed. If the lesion satisfied one of the following conditions, the peripheral type 鈮，
本文编号：2346717
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