电视胸腔镜手术与传统手术治疗胸腺瘤疗效比较  

Comparison of the effect of video-assisted thoracic surgery and traditional operation in treatment on thymoma

作　　者：任自学[1] 王圣应[1] 张荣新[1] 

机构地区：[1]安徽省肿瘤医院胸外科,安徽合肥230031

出　　处：《新乡医学院学报》2014年第7期544-545,共2页Journal of Xinxiang Medical University

摘　　要：目的比较电视胸腔镜手术(VATS)与传统手术治疗胸腺瘤的临床效果。方法 42例胸腺瘤患者分为观察组和对照组,每组21例。对照组患者给予传统手术切除胸腺瘤,观察组患者给予VATS切除胸腺瘤,比较2组治疗效果。结果 2组患者均顺利完成手术。观察组患者术中出血量和术后引流量显著少于对照组,差异有统计学意义(P<0.05);观察组患者手术时间、下床活动时间、引流管留置时间、住院时间显著短于对照组,差异均有统计学意义(P<0.05)。观察组和对照组患者并发症发生率分别为14.29%和52.38%,观察组患者并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 VATS切除胸腺瘤安全可靠,创伤小,愈合快,并发症少。Objective To compared the effect of video-assisted thoracic surgery（VATS） and traditional operation in treatment on thymoma.Methods A total of 42 patients with thymoma were divided into observation group and control group,21 patients in each group.The patients in control group were treated with traditional operation resection of thymoma,while the patients in observation group were treated with VATS of thymoma.The effect was compared between the two groups.Results The operations of all patients in the two groups were successfully completed.The intraoperative blood loss and postoperative drainage volume in observation group were significantly less than those in control group（P〈 0.05）.The operation time,out-ofbed activity time,drainage time and hospitalization time in observation group were significantly shorter than those in control group（P〈 0.05）.The complication incidence rate in observation group and control group was 14.29% and 52.38% respectively,the complication incidence rate in observation group was significantly lower than that in control group（P〈 0.05）.Conclusion VATS for treating thymoma was safe and reliable with small trauma,fast healing and fewer complications.

关 键 词：电视胸腔镜手术 微创外科 胸腺瘤 

分 类 号：R736.3[医药卫生—肿瘤]