电视胸腔镜手术与开胸手术治疗纵膈肿瘤的临床价值比较  

Comparison of Video-assisted Thoracoscopic Surgery and Thoracotomy in the Treatment of Mediastinal Tumor

作　　者：童华杰[1] 张远强[1] 李平 TONG Huajie;ZHANG Yuanqiang;Ll Ping(The First People＇s Hospital of Zigong,Zigong,64300)

机构地区：[1]四川省自贡市第一人民医院,643000

出　　处：《实用癌症杂志》2018年第6期951-953,961,共4页The Practical Journal of Cancer

摘　　要：目的探究电视胸腔镜手术与开胸手术对纵膈肿瘤的临床治疗价值。方法将70例纵膈肿瘤患者按数字表法随机分为对照组与试验组,每组均35例。对照组行开胸手术治疗,试验组则实施电视胸腔镜手术治疗。对比分析2组患者术中出血量、术后止痛剂使用时间、引流时间、术后3 d及7 d时VAS评分情况、治疗前后SAS评分情况及术后并发症情况。结果试验组术中出血量为(190.46±75.22)ml、术后止痛剂使用时间为(2.26±0.31)d、引流时间为(2.77±1.35)d,均明显低于对照组术中出血量(280.16±98.15)ml、术后止痛剂使用时间(3.19±0.54)d、引流时间(4.89±1.57)d。术后7 d时,试验组VAS评分为(0.95±1.04)分,明显低于对照组(3.03±1.26)分;治疗后,试验组SAS评分为(36.28±8.43)分,明显低于对照组(48.54±10.22)分。试验组并发症发生率(8.58%)明显低于对照组(28.57%)。2组差异均有统计学意义(P<0.05)。结论与开胸手术治疗相比,电视胸腔镜手术安全性高,能明显减轻患者的痛苦,在治疗纵膈肿瘤上具有较高的临床应用价值。Objective To explore and analyze the clinical significance of video-assisted thoracoscopic surgery and thoracotomy in the treatment of mediastinal neoplasms. Methods To patients with mediastinal tumor were randomly divided into the control group and the experimental group,with 35 cases in each group. Thoracic surgery was performed in the control group,while the video-assisted thoracoscopic surgery was performed in the experimental group. Intraoperative blood loss,postoperative analgesic use time,drainage time,VAS score at 3 d and 7 d after operation,SAS score before and after treatment,and postoperative complications were compared and analyzed. Results The amount of bleeding（ 190. 46 ± 75. 22） ml,the duration of analgesic use（ 2. 26 ± 0. 31） days and the time of drainage（ 2. 77 ± 1. 35） d in the experimental group were significantly lower than those of the control group（ 280. 16 ± 98. 15） ml,（ 3. 19 ± 0. 54） d and（ 4. 89 ± 1. 57） d. At 7 days after treatment,VAS score（ 0. 95 ±1. 04） points in the experimental group was significantly lower than that of the control group（ 3. 03 ± 1. 26） points; after treatment,SAS score（ 36. 28 ± 8. 43） points in the experimental group was significantly lower than that of the control group（ 48. 54 ±10. 22） points; the complication rate（ 8. 58%） in the experimental group was significantly lower than that of the control group（ 28. 57%）,there was statistically different significance（ P 〈 0. 05）. Conclusion Compared with thoracotomy,video-assisted thoracoscopic surgery is safe and can relieve the patient’s pain. It has a high clinical value in the treatment of mediastinal tumors.

关 键 词：临床价值 电视胸腔镜 纵膈肿瘤 开胸手术 

分 类 号：R734.5[医药卫生—肿瘤]