微创胸腔镜手术对改善纵膈肿瘤预后的影响
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摘要
目的研究微创胸腔镜手术对改善纵膈肿瘤预后的影响。方法选取2016年7月至2017年5月我院收治的纵膈肿瘤患者55例作为研究主体,根据治疗术式不同分为对照组(n=27,传统开胸纵隔切除术)和观察组(n=28,微创胸腔镜手术)。比较2组手术情况及术后并发症发生率。结果 2组患者手术均顺利,无手术死亡情况。观察组手术时间、术中出血量、术后胸管引流时间、镇痛药物使用时间、术后住院时间均低于对照组(P<0.05)。观察组住院费用略高于对照组,但组间对比无统计学意义(P>0.05);且观察组术后轻微声嘶、发热以及切口局部渗液并发症发生率明显低于对照组(P<0.05)。结论与开胸纵隔切除术疗效比较,微创胸腔镜手术医治纵膈肿瘤疗效更突出,且手术安全性较高,术后并发症发生率低,有利于患者术后恢复。
Objective to study effect of minimally invasive thoracoscopic surgery on prognosis of mediastinal tumors.Method s choose 55 cases mediastinal tumors patients admitted to our hospital from July 2016 to May 2017 as study subjects.Divide them into control group(n=27,with traditional thoracotomy and mediastinum resection)and observation group(n=28,minimally invasive thoracoscopic surgery)based on different surgical methods.Compare operation conditions and postoperative complications incidence between two groups.Re s ults operation was successful in both groups,with no operative death.Operation time,intraoperative bleeding volume,thoracic drainage time,analgesics time and hospital stay in observation group was lower than control group(P<0.05).Hospitalization cost of oIbservation group was slightly higher than control group,but difference showed no statistical significance between two groups,(P>0.05),and incidence of slight hoarseness,fever and complications of incision local exudation in observation group was significantly lower than control group(P<0.05).Conclusion compared with open thoracotomy,minimally invasive thoracoscopic surgery has higher treatment effects for mediastinal tumors,with higher operative safety and lower complications incidence,which is conducive to postoperative recovery of patients.
Objective to study effect of minimally invasive thoracoscopic surgery on prognosis of mediastinal tumors.Method s choose 55 cases mediastinal tumors patients admitted to our hospital from July 2016 to May 2017 as study subjects.Divide them into control group(n=27,with traditional thoracotomy and mediastinum resection)and observation group(n=28,minimally invasive thoracoscopic surgery)based on different surgical methods.Compare operation conditions and postoperative complications incidence between two groups.Re s ults operation was successful in both groups,with no operative death.Operation time,intraoperative bleeding volume,thoracic drainage time,analgesics time and hospital stay in observation group was lower than control group(P<0.05).Hospitalization cost of oIbservation group was slightly higher than control group,but difference showed no statistical significance between two groups,(P>0.05),and incidence of slight hoarseness,fever and complications of incision local exudation in observation group was significantly lower than control group(P<0.05).Conclusion compared with open thoracotomy,minimally invasive thoracoscopic surgery has higher treatment effects for mediastinal tumors,with higher operative safety and lower complications incidence,which is conducive to postoperative recovery of patients.
引文
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[2]马景华,严磊,朱冰,等.全胸腔镜纵膈肿瘤切除46例临床分析[J].实用临床医药杂志,2015,19(13):157-158.
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