Abstract：Objective To Comparative analysis of the clinical efficacy of single port thoracoscopic lung segmentectomy and segmentectomy in the treatment of elderly pulmonary nodules. Methods 72 patients with pulmonary nodules were randomly divided into two groups,with 36 patients in each group.The control group underwent single port thoracoscopic segmentectomy,while the observation group underwent single port thoracoscopic segmentectomy.Compare two groups of perioperative indicators[number of resected segments,bleeding volume,drainage volume,length of hospital stay,visual analog scale (VAS)],lung function,stress indicators[cortisol (Cor),malondialdehyde (Mda),reactive oxygen species(Ros)]levels,complications,and FACT-L scores for lung cancer patients. Results Compared with the control group,the observation group had fewer sub segments,less bleeding and drainage,shorter hospital stay,and lower VAS scores(P<0.05); After surgery,compared with the control group,the observation group had higher FVC,MVV,FEV1,and FACT-L scores,and lower Cor,Mda,and Ros scores(P<0.05); There was no significant difference in complications between the two groups(P>0.05). Conclusion Single port thoracoscopic lung segmentectomy can optimize perioperative conditions,reduce postoperative pain,have minimal impact on lung function,alleviate stress reactions,and improve quality of life in elderly patients with pulmonary nodules.
张勇, 李迎坤. 单孔胸腔镜下肺亚段与肺段切除术治疗老年肺结节的对比研究[J]. 哈尔滨医药, 2025, 45(5): 12-14.
Zhang Yong, Li Yingkun. Comparative Study of Single-port Thoracoscopic Subsegmental Versus Segmental Lung Resection for the Treatment of Pulmonary Nodules in the Elderly. journal1, 2025, 45(5): 12-14.
2025, Vol. 45 
