全胸腔镜治疗神经源性纵隔肿瘤的临床观察  

Clinical observation of totally video-assisted thoracoscopic surgery in the treatment of neurogenic mediastinum tumor

作　　者：刘秋华[1] 夏旭[1] 王婷[1] 梁计焕[1] 

机构地区：[1]清远市人民医院胸心外科,广东清远511518

出　　处：《华夏医学》2016年第3期71-74,共4页Acta Medicinae Sinica

摘　　要：目的:探讨全胸腔镜下治疗神经源性纵隔肿瘤的临床疗效。方法:回顾性分析我院收治的68例神经源性纵隔肿瘤患者临床资料,将病患分为观察组(胸腔镜治疗)和对照组(开胸手术治疗)各34例。观察比较两组患者手术一般情况、术后并发症发生率。结果:观察组患者手术时间、术中出血量、切口长度、引流时间、VAS、住院时间均优于对照组,差异有统计学意义(P<0.05),观察组术后并发症发生率明显少于对照组,差异有统计学意义(P<0.05)。结论:全胸腔镜下切除神经源性纵隔肿瘤术具有手术切口小、并发症发生率低等特点,较传统开胸手术优势明显。Objective： To investigate the clinical effect of totally video-assisted thoracoscopic surgery in the treatment of neurogenic mediastinum tumor. Methods： 68 patients our hospital were randomized into the control group neurogenic mediastinum tumor in and the observation group with 34 cases in eachgroup. The control group patients underwent traditional thoracotomy, while the observation group patients underwent totally video-assisted thoracoscopic thoracotomy. Surgery situation, the rate of postoperative complication between both groups were compared. Results： The peri-operative bleeding, pleural effusion volume, incision size, drainage time, VAS and the hospital stay in the observation group were significantly superior to those in the control group, which were of statistical difference （P〈0.05）. The incidence of postop- erative complications in the observation group was remarkably less than that of the control group, which was statistically different （P〈0.05）. Conclusions： Totally video-assisted thoracoscopic surgery has such advantages as smaller incision, less peri-operative bleeding and lower incidence of postoperative complications, superor to the conventional thoracotomy.

关 键 词：全胸腔镜 神经源性纵隔肿瘤 并发症 

分 类 号：R734.5[医药卫生—肿瘤]