Comparative study of VATS compared with argon-helium knife cryotherapy for isolated pulmonary nodules
VATS术与氩氦刀冷冻治疗孤立性肺结节的对比研究

摘要

目的 探讨VATS术与氩氦刀冷冻治疗孤立性肺结节价值。方法 回顾性分析2023年1月-2024年1月我院20例孤立性肺结节患者，根据患者来院就诊顺序进行分组，对照组（10例）和观察组（10例），观察组采用VATS术治疗、对照组采用氩氦刀冷冻治疗，对比两组手术指标及术后疼痛评分。结果 切口长度、手术时间、引流管引流时间、出血量及术后哌替啶用量、淋巴结清扫数目、住院天数、术后引流量指标对比，观察组数值低于对照组，数据差异明显，P＜0.05；疼痛评分对比，观察组数值低于对照组，数据差异明显，P＜0.05。结论 VATS术治疗孤立性肺结节效果更好，可推广。

Abstract

Objective To investigate the value of VATS and argon-helium knife cryotherapy in the treatment of isolated pulmonary nodules.
Methods A retrospective analysis was performed on 20 patients with solitary pulmonary nodules in our hospital from January 2023 to January 2024, and the patients were divided into control group (10 cases) and observation group (10 cases) according to the order of admission. The observation group was treated with VATS and the control group was treated with argon-helium knife cryotherapy. The surgical indexes and postoperative pain scores of the two groups were compared.
Results Incision length, operation time, drainage tube drainage time, blood loss, postoperative dosage of pethidine, number of lymph node dissection, hospitalization days and postoperative drainage volume were significantly lower in the observation group than in the control group (P < 0.05). The pain score of the observation group was lower than that of the control group (P < 0.05).
Conclusion   VATS is more effective in the treatment of isolated pulmonary nodules and can be popularized.