胸腔镜下纵隔肿瘤切除100例临床分析  

Clinical analysis of 100 cases of thoracoscopic mediastinal tumor resection

作　　者：王永连[1] 王忠民[1] 王毅[1] 陶义鹏[1] 陈志军[1] 李嵩岳[1] 

机构地区：[1]新乡医学院第一附属医院胸外科,河南卫辉453199

出　　处：《现代肿瘤医学》2016年第13期2078-2080,共3页Journal of Modern Oncology

基　　金：河南省教育厅资助项目(编号:13B330221)

摘　　要：目的：探讨电视胸腔镜下纵隔肿瘤切除的疗效。方法：收集本院胸外科2011年1月-2013年12月电视胸腔镜下纵隔肿瘤切除的患者100例。采用双腔气管插管,静脉复合麻醉,胸腔镜下操作纵隔肿瘤切除术。记录纵隔肿瘤患者手术时间、术中出血量、胸腔引流管放置时间、术后引流量、住院时间、术后并发症及疼痛评分。术后随访0.5~3.0年,统计其复发率及远期疗效。结果：100例纵隔肿瘤患者手术顺利,无中转开胸病例,手术成功率100%。手术时间（75.6±5.2）min;术中出血量（60.10±7.8）ml;术后胸腔引流时间1~4天;术后住院时间3~7天。9例合并重症肌无力者症状无改善,2例合并单纯障碍性贫血患者贫血症状无改善。结论：胸腔镜纵隔肿瘤切除手术,具有微创、安全、减少患者痛苦及缩短术后康复时间等显著优势。Objective：To investigate the curative effect of video -assisted thoracoscopic resection of mediastinal tumor.Methods：One hundred patients under the thoracoscopic mediastinal tumor resection were collected treated by a double lumen endotracheal intubation,intravenous anesthesia,thoracoscopic mediastinal tumor resection.Results：One hundred cases of operating mediastinal tumor patients were all successful,without conversions to open chest operation. The operation time was （75.6 ±5.2）min,and the intraoperative blood loss was （60.10 ±7.8）ml,with the postoper-ative chest drainage time 1 ~4 days,and the postoperative hospitalization time 3 ~7 days.No improvement in 9 cases with myasthenia gravis,2 cases with simple anemia symptoms.Conclusion：Video -assisted thoracoscopic mediastinal tumor resection operation is minimally invasive,safe,and can shorten postoperative recovery time.

关 键 词：胸腔镜 纵隔肿瘤 淋巴结清扫 疗效 

分 类 号：R734.5[医药卫生—肿瘤]