胸腔镜微创手术与传统开胸手术治疗纵隔肿瘤效果比较  

Comparison of video-assisted thoracoscopic surgery and thoracotomy for mediastinal tumor

作　　者：马跃峰[1] 孔冉冉[1] 周斌[1] 张潍[1] 李少民[1] 张晋[1] 乔哲[1] 姜建涛[1] 

机构地区：[1]西安交通大学医学院第二附属医院胸外科,陕西西安710004

出　　处：《现代肿瘤医学》2014年第2期358-360,共3页Journal of Modern Oncology

摘　　要：目的:比较胸腔镜微创手术与传统开胸手术治疗纵隔肿瘤的疗效。方法:对22例行胸腔镜微创手术和20例传统开胸手术治疗纵隔肿瘤的治疗效果进行比较。结果:两组患者手术顺利,治愈出院,无手术死亡。胸腔镜微创手术组手术时间、术后胸管引流时间、术后镇痛药物使用时间、术后住院时间均比传统开胸组短(P<0.05),胸腔镜组术中出血量比传统开胸组少(P<0.01),胸腔镜组术后并发症发生率低于传统开胸组,住院费用略高于传统开胸组,但差异比较无统计学意义(P>0.05),术后随访1-2年,无局部复发。结论:胸腔镜微创手术治疗纵隔肿瘤创伤小、手术时间短、出血少、术后恢复快,住院费用及疗效与传统开胸手术无明显差别,是纵隔肿瘤的重要治疗方法。Objective：To compare the effect of video -assisted thoracoscopic surgery（VATS） for minimally invasire and thoraeotomy （TH） in the treatment of lnediastinal tumor. Methods：Observing the therapeutic effects of 22 cases of lnediastinal tmnor treated by VATS and 20 cases by TH. Results：No death occurred in perioperative period in the two groups. The two groups had the same efficacy, in VATS group,the operation tilne,the time of using analgesic postoperativs,intraoperative blood loss,hospitalization time and drainage time were less than those in the thoracotolny group（P 〈 0. 05） , but the tmnor sizes were not statistically different between the two groups （P 〉 0.05）. Their hospitalization expenses were a little more than the thoraeotolny group,but the difference had no statistical significance （P 〉 0.05）. The postoperative complication rates of VATS group were lower than TH group. Follow up 1 - 2 years,there was no reeidivation partly. Conclusion： Thoraeoseopie surgery has the same efficacy as thoracotolny in treatment of lnediastinal tmnor, it is reliable minimally invasive and turns out less bleeding, light pain, less complication, it is an advanced and important treatment.

关 键 词：纵隔肿瘤 胸腔镜 微创手术 

分 类 号：R730.8[医药卫生—肿瘤] R734.5[医药卫生—临床医学]