对比分析经胸腔镜微创外科与传统手术治疗原发性纵隔肿瘤的临床效果  

Clinical effects of minimally invasive thoracoscopic surgery and traditional surgery on primary mediastinal tumors

作　　者：毕泗允 Bi Siyun(Dept.of Thoracic Surgery,Juye Peoples Hospital,Heze 274900,China)

机构地区：[1]巨野县人民医院胸外科,山东菏泽274900

出　　处：《山东第一医科大学（山东省医学科学院）学报》2021年第6期448-450,共3页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

摘　　要：目的探讨原发性纵隔肿瘤采用传统手术与经胸腔镜(VATS)微创外科手术治疗的临床效果。方法选择2018年2月—2019年6月期间巨野县人民医院收治的原发性纵隔肿瘤患者94例为研究对象,根据数字随机法将其分为两组,其中给予对照组传统手术治疗,而观察组则运用经胸腔镜微创外科手术,比较两组治疗效果。结果观察组的住院时间、引流、使用镇痛药物以及手术时间均短于对照组,差异有统计学意义(P<0.05),且术中出血量少于对照组,差异有统计学意义(P<0.05);与对照组比较,观察组的术后并发症发生率低,组间对比差异具有统计学意义(P<0.05);同时,两组的术后血清炎性因子水平比较,差异有统计学意义(P<0.05)。结论临床上运用经胸腔镜微创外科手术对原发性纵隔肿瘤患者进行治疗,不仅可以降低机体炎症反应,还能减少术后并发症,缩短患者住院时间。Objective:To investigate the clinical effect of traditional surgery and minimally invasive surgery via thoracoscopy(VATS)for primary mediastinal tumor.Methodls:A total of 94 patients with primary medliastinal tumor admilted to Juye Peoples Hospital from Febnuary 2018 to June 2019 were selected as the study objects.They were randomly divided into two groups accondling to the digital randomization method,among which the contmol group was given traditional surgicaltreatment,while the observation group was treated with minimally invasive surgery via thoracoscopy to compare the therapeutic effects of the two groups.Results:The duration of hospitalization,drainage,analgesic use and operation was shorterin the observation group than those in the control group(P<0.05)anmd intraperative blood loss was less than that of thecontrol group(P<0.05);Compared with the control group,the incidence of postoperative complications in the observationgroup was low,and the differences between the groups were significant(P<0.05);At the same time,the postoperativescnm inflammatory factor levels of the two groups were statistically significant(P<0.05).Conclusion:The application ofminimally invasive surgery via thoracoscopy in the treatment of patients with primary mediastinal tumor can not only retducethe bodlys inflammatory response,but also reduce postoperative complications and shorten the length of hospital stay.

关 键 词：胸腔镜 纵隔肿瘤 传统手术 

分 类 号：R655[医药卫生—外科学]