微创切除术与开胸切除术治疗胸腺瘤的临床观察及预后影响  

Effect of the Clinical Observation and Prognosis of Minimally Invasive Surgery and Thoracic Resection for Thymoma

作　　者：郭建庄[1] 秦勇[1] GUO Jianzhuang;QIN Yong(Linzhou Cancer Hospital,Linzhou,45655)

机构地区：[1]河南省林州市肿瘤医院,456550

出　　处：《实用癌症杂志》2018年第7期1135-1137,共3页The Practical Journal of Cancer

摘　　要：目的探讨微创切除术与开胸切除术治疗胸腺瘤的临床疗效,术后并发症及患者预后情况对比。方法78例胸腺瘤患者,接受微创切除术的42例胸腺瘤患者为观察组,接受开胸切除术的36例胸腺瘤患者为对照组,观察两组的术中情况、术后并发症及预后状况。结果观察组的手术时间、术后住院时间、胸液引流时间均明显短于对照组(P<0.05);同时观察组的术中出血量和引流量均显著少于对照组(P<0.05)。观察组术后出现1例肺部感染,剩余41例均无并发症发生;对照组术后出现2例切口感染,2例肺部感染,且1例肌无力症术后转ICU。观察组和对照组随访12~72个月,观察组平均随访(35.41±12.11)个月,复发或转移1例,死亡0例;对照组平均随访(37.28±15.19)个月,复发或转移2例,死亡1例。结论与传统开胸手术相比,胸腔镜微创手术治疗胸腺瘤的疗效显著,创伤小,恢复快,并发症少,生存率高,值得临床推广。Objective To investigate the clinical effect of minimally invasive surgery and open thoracotomy resection for thymoma,and compare and prognosis and postoperative complications. Methods 78 cases of adenoma patients accepted minimally invasive resection or thoracotomy resection,42 cases treated by minimally invasive resection was the observation group,and 36 cases treated by thoracotomy resection was the control group.Intraoperative and postoperative complications,and prognosis were analyzed. Results The time of operation,postoperative hospitalization and drainage in the observation group were significantly shorter than the control group （ P 〈0.05）.Meanwhile,the amount of intraoperative bleeding and the volume of drainage in the observation group were significantly less than the control group （ P 〈0.05）.There were 1 cases of pulmonary infection in the observation group,and the remaining 41 cases had no complications.After operation there have 2 cases of incision infection,2 cases of pulmonary infection and 1 case of myasthenia gravis were transferred to ICU in the control group.Both groups were followed up for 12~72 months,and the observation group was average followed up （35.41＋12.11） months,recurrence or metastasis 1 cases and no death.The control group was average followed up （37.28 ＋ 15.19） months,recurrence or metastasis 2 cases,and death 1 case. Conclusion Compared with the traditional thoracotomy,minimally invasive surgery for thymoma is effective,with less trauma,quick recovery,less complications,and high survival rate.It is worthy of clinical promotion.

关 键 词：微创切除术 开胸切除术 胸腺瘤 临床疗效 

分 类 号：R736.3[医药卫生—肿瘤]