微创胸腔镜下纵膈切除术治疗纵隔肿瘤的疗效  

Efficacy of Minimally Invasive Thoracoscopic Mediastina Resection in the Treatment of Mediastinal Tumor

作　　者：陈楠[1] 张莹[1] 郭刚[1] 马千里[1] 向旭东[1] 李高峰[1] 

机构地区：[1]云南省肿瘤医院,云南昆明650118

出　　处：《河北医学》2016年第2期201-204,共4页Hebei Medicine

基　　金：国家自然科学基金;(编号:81460356)

摘　　要：目的:探讨微创胸腔镜手术治疗纵膈肿瘤的疗效,减少术后并发症。方法:对2014年1月至2015年6月收治的纵膈肿瘤患者40例(研究组)前瞻性实施微创电视胸腔镜下纵膈切除术治疗,并回顾性分析2012年7月至2013年12月实施开胸手术治疗40例纵膈肿瘤患者(对照组)的临床资料,比较两组手术情况及并发症发生率。结果:两组手术时间比较差异无统计学意义(P>0.05);研究组术中失血量,引流管留置、下床活动、住院时间均少于对照组(P<0.05);术后1d、术后3d研究组切口疼痛评分(VAS),血浆中皮质醇(COR)、促肾上腺皮质激素(ACTH)浓度均低于对照组(P<0.05);研究组并发症发生率低于对照组(P<0.05)。结论:微创胸腔镜纵膈切除术治疗纵膈肿瘤疗效好,创伤小,患者应激反应低,并发症少,临床应推广适用。Objective： To investigate the effect of of minimally invasive thoracoscopic mediastina resection in the treatment of mediastinal tumor and reduce complications. Method： 40 patients with mediastinal tumors（ study group） from January 2014 to June 2015 were prospectively implemented minimally invasive thoracoscopic mediastina resection,and clinical data of 40 patients with mediastinal tumors（ control group）from July 2012 to 2013 implemented thoracotomy surgury were analyzed,then surgery and complications incidence were compared. Result： Operative time had no significant difference（ P〉 0. 05）; intraoperative blood loss,drainage tube indwelling,ambulation,hospitalization time in the study group was less than those in the control group（ P〈 0. 05）; postoperative 1 day,3 days incision VAS,COR and ACTH concentrations in the study group were lower than those in the control group（ P〈 0. 05）; morbidity in the study group were lower than those in the control group（ P〈 0. 05）. Conclusion： Minimally invasive thoracoscopic mediastinal mediastinal tumor resection has good efficacy,less invasive,and the patients have low stress,fewer complications,which is worthy of clinical application.

关 键 词：纵膈肿瘤 电视胸腔镜 纵膈切除术 微创 

分 类 号：R734.5[医药卫生—肿瘤]