Clinical Analysis For The Diagnosis And Treatment Of Solitary Pulmonary Nodule

0bjectives: To probe the role of CT in the diagnosis of solitary pulmonary nodule (SPN); To probe the value of video-assisted thoracoscopic surgery (VATS) in the diagnosis and treatment of SPN.Methods: A retrospective study was performed in this hospital. From January 2004 to December 2009, one hundred forty-nine SPN patients accepted surgery in hospital. To discuss the role of CT by comparing the CT diagnosis and the pathologic diagnosis of SPN. To discuss the value of VATS in the diagnosis and treatment of SPN by comparing VATS and routine exploratory thoracotomy .Results: Sensitivity and specificity in the diagnosis of SPN for CT were 90.79% and 43.83%. All patients were received lung biopsies and they were diagnosed pathologically no matter VATS or routine exploratory thoracotomy. The sensitivity and specificity in the diagnosis of SPN for VATS and routine exploratory thoracotomy were all 100%. There were significant differences between 47 cases with VATS and 102 cases with routine thoracotomy in the times of average algesis, the days of chest tube drainage, the total volume of chest tube drainage, the days of hospitalization after operation.Conclusions: Specificity for CT in the diagnosis of SPN is Poor, but the sensitivity and specificity in the diagnosis of SPN for VATS and routine exploratory thoracotomy are all 100%.VATS has the advantages of small cut to meet the requirement of cosmetology, small trauma, less postoperative pain, speedy recovery and shorter hospitalization. The minimally invasive effects of VATS is significant. VATS has a significant clinical value in the diagnosis and treatment of SPN. The SPN should receive operation without needing a long-term observation, avoiding delay the condition of a patient.