胸腔镜手术与传统开胸手术对纵隔肿瘤患者的疗效及安全性比较  

Comparison on the Curative Effect and Safety between Thoracoscopic Surgery and Traditional Thoracotomy in Patients with Mediastinal Tumors

作　　者：许赓[1] 

机构地区：[1]山东省菏泽市立医院胸外科,山东菏泽274031

出　　处：《临床医学工程》2017年第7期899-900,共2页Clinical Medicine & Engineering

摘　　要：目的研究胸腔镜手术与传统开胸手术治疗纵隔肿瘤患者的疗效和安全性。方法选取我院2014年3月至2016年3月收治的98例纵隔肿瘤患者,根据手术方式的不同分为A、B两组,各49例。A组采用传统开胸手术治疗,B组采用胸腔镜手术治疗。比较两组患者的治疗效果。结果两组患者的手术时间比较差异无统计学意义(P>0.05)。B组的术中出血量、手术切口长度、引流时间、住院时间均显著优于A组(P<0.05)。B组术后不良反应发生率为6.12%,显著低于A组的22.45%(P<0.05)。结论胸腔镜手术治疗纵隔肿瘤患者具有较好的疗效,创伤较小,显著缩短住院时间和引流时间,术后不良反应发生率较低,值得临床推广应用。Objective To study the curative effect and safety between thuracoscopic surgery and traditional thoracotomy in the treatment of patients with mediastinal tumors. Methods 98 cases of patients with mediastinal tumors admitted to our hospital 1~om March 2014 to March 2016 were selected and divided into group A and group B according to different operation methods, with 49 cases in each group. Group A received traditional thoracotomy, while group B received thoracoscopic surgery. The treatment effects of patients were compared between two groups. Results No statistical difference was found in the operation time between two groups （P 〉0.05）. The intraoperative blood loss, length of operation incision, drainage time and hospitalization time of group B were significantly better than those of group A （P〈0.05）. The incidence of postoperative adverse reactions of group B was 6.12%, significantly lower than 22.45 % of group A （P 〈0.05）. Conclusions Thoracoscopic surgery in the treatment of patients with mediastinal tumors has better curative effect, small trauma, and significantly shortens the hospitalization time and drainage time, with lower incidence of postoperative adverse reactions, which is worthy of clinical promotion and application.

关 键 词：胸腔镜手术 开胸手术 纵隔肿瘤 疗效 安全性 

分 类 号：R734.5[医药卫生—肿瘤]