115例原发性纵膈肿瘤的外科治疗分析  

Analysis of surgical treatment of 119 cases of primary mediastinal tumors

作　　者：徐庆元[1] 温剑虎[1] 

机构地区：[1]重庆医科大学附属第一医院胸心外科,重庆400016

出　　处：《局解手术学杂志》2014年第4期395-397,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨原发性纵膈肿瘤外科手术治疗的效果。方法回顾性分析2011年9月至2013年9月我院收治的119例原发性纵膈肿瘤患者的临床资料,115例按手术方法分为2组,45例胸腔镜手术为VATS组,70例常规开放手术为开放组,观察比较2组患者的住院时间、出血量、手术时间等。结果 VATS组的平均手术时间、平均术中出血量、平均住院时间分别为(86.65±53.56)min、(105.13±47.51)mL、(9±7.73)d均优于开放组的平均手术时间、平均术中出血量、平均住院时间(92.35±63.61)min、(148.89±107.42)mL、(11.32±7.20)d,P<0.05,差异有统计学意义。结论对于原发性纵膈肿瘤诊断明确后依据肿瘤的大小、部位等优先选择手术治疗,手术成功率高,并发症少,5年存活率高。Objective To explore the diagnosis and treatment of primary mediastinal tumors in our hospital. Methods The data of 119 patients with primary mediastinal tumors in our hospital from September 2011 to September 2013 were retrospectively analyzed. Among the 119 patients ,4 patients cancelling the surgery ,45 cases received video-assisted thoracoscopie surgery were VATS group, and 70 cases treated with traditional surgery were open surgery group. The hospital stays, bleeding volume and the operation time of two groups were observed and compared. Results The operation time, bleeding volume and hospital stays of VATS group were （ 86.65 ± 53.56 ） min, （ 105.13 ± 47.51 ） mL, （9 ±7.73 ） d respectively, which were better than those of open surgery group. The differences were statistically significant（ P 〈 0.05 ）. Conclusion surgical treatment for patients with primary mediastinal tumors had better curative effect, high cure rate, low fatality rate and fewer complications.

关 键 词：原发性 纵膈肿瘤 外科治疗 

分 类 号：R730.5[医药卫生—肿瘤]