剑突下单孔胸腔镜与传统外科术治疗前纵隔肿瘤的疗效比较  

Comparison of efficacy of subxiphoid uniportal videoassisted thoracic surgery and traditional surgery in the treatment of anterior mediastinal tumors

作　　者：王士猛[1] 孙晨 陈博汉 WANG Shimeng;SUN Chen;CHEN Bohan(Department of Thoracic Surgery,Heze Municipal Hospital,Heze,Shandong,274000,China)

机构地区：[1]菏泽市立医院胸外科,山东菏泽274000

出　　处：《当代医学》2023年第10期105-107,共3页Contemporary Medicine

摘　　要：目的比较剑突下单孔胸腔镜技术与传统外科手术治疗前纵隔肿瘤的效果。方法选取2014年1月至2016年1月本院收治的48例前纵隔肿瘤患者作为研究对象,按照随机数字表法分为胸腔镜组与开胸组,每组24例。开胸组予以传统外科手术治疗,胸腔镜组予以剑突下单孔胸腔镜技术治疗,比较两组围术期情况、疼痛情况、并发症发生情况及1、5年生存情况。结果胸腔镜组切口长度、手术时间、住院时间均短于开胸组,差异有统计学意义(P<0.05)。胸腔镜组视觉疼痛模拟评分法(VAS)低于开胸组,疼痛持续时间短于开胸组,差异有统计学意义(P<0.05)。两组并发症发生率和1、5年生存率比较差异均无统计学意义。结论与传统外科手术相比,剑突下单孔胸腔镜技术治疗前纵隔肿瘤患者,可缩短切口长度、手术时间、患者住院时间,减轻疼痛度,预防并发症的发生,并能改善预后效果。Objective To compare the effect of subxiphoid uniportal video-assisted thoracic surgery and traditional surgery in the treatment of anterior mediastinal tumors.Methods 48 patients with anterior mediastinal tumors treated in our hospital from January 2014 to January 2016 were selected as the research subjects,and they were divided into the thoracoscopy group and the thoracotomy group according to the random number table method,with 24 cases in each group.The thoracotomy group was treated with traditional surgery,and the thoracoscopic group was treated with subxiphoid uniportal thoracoscopic technology,the perioperative conditions,pain,complications,and 1 and 5-year survival rates were compared between the two groups.Results The length of incision,operation time and hospitalization time in tthe thoracoscopy group were shorter than those in the thoracotomy group,and the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score in the thoracoscopy group was lower than that of the thoracotomy group,and the duration of pain was shorter than that in the thoracotomy group,and the differences were statistically significant(P<0.05).There was no significant difference in complication rate and 1 and 5-year survival rate between the two groups.Conclusion Subxiphoid uniportal video-assisted thoracic surgery can shorten the length of incision,operation time,hospital stay-time,relieve pain,prevent complications,and improve the prognosis of patients with anterior mediastinal tumors.

关 键 词：前纵隔肿瘤 传统外科手术 剑突下单孔胸腔镜技术 生存率 

分 类 号：R734.5[医药卫生—肿瘤]