电视胸腔镜下手术治疗纵隔肿瘤的临床效果观察.docVIP

电视胸腔镜下手术治疗纵隔肿瘤的临床效果观察 　　【摘要】 目的 对比电视胸腔镜手术与传统开胸手术治疗纵隔肿瘤的临床疗效。方法 行手术治疗的纵隔肿瘤患者46例， 采用随机数表法将其分为观察组与对照组， 每组23例， 对照组患者采取传统开胸手术切除治疗， 观察组患者采用电视辅助胸腔镜手术治疗， 比较两组患者手术用时、术中出血量、住院时间、引流时间及术后并发症发生情况。结果 观察组患者术中出血量、手术用时、住院时间、术后引流时间及并发症发生率明显低于对照组， 差异具有统计学意义（P0.05）。两组患者术后及术后近期无死亡病例出现。结论 电视胸腔镜下手术治疗纵隔肿瘤具有低医源性损伤、安全、并发症发生率低的优点， 并且患者术后康复较快、住院时间较短， 有助于减少患者经济负担及早日回归社会生活， 具有应用及推广价值。 　　【关键词】 电视胸腔镜；纵隔肿瘤；开胸手术 　　DOI：10.14163/j.cnki.11-5547/r.2015.18.023 　　Observation of clinical effect by video-assisted thoracoscopic surgery in the treatment of mediastinal tumor QI Qiu-gan， TANG Hai-bo， LEI Yan， et al. Department of Thoracic Surgery， Southern Medical University Hospitals of Traditional Chinese and Western Medicine， Guangzhou 510315， China 　　【Abstract】 Objective To compare the clinical effects between video-assisted thoracoscopic surgery and traditional thoracotomy in the treatment of mediastinal tumor. Methods There were 46 mediastinal tumor patients receiving surgical treatment. They were randomly divided into observation group and control group， with 23 cases in each group. The control group received traditional thoracotomy for treatment， and the observation group received video-assisted thoracoscopic surgery. Operation time， intraoperative bleeding volume， hospital stay， drainage time， and postoperative complications of the two groups were compared. Results The observation group had much lower intraoperative bleeding volume， operation time， hospital stay， postoperative drainage time， and incidence of complications than the control group. Their difference had statistical significance （P0.05）. Both groups had no short-term death case after operation. Conclusion Video-assisted thoracoscopic surgery has advantages of low iatrogenic injury， high safety， and low incidence of complications. It brings quick postoperative recovery and short hospital stay for patients. This method can reduce their economic burden and make them return to society， and it contains value of application and promotion