无胸管化治疗在剑突下胸腔镜前纵隔肿瘤治疗中的临床效果探讨  

Clinical effect of tubeless subxiphoid video-assisted thoracoscopic surgery in the treatment of anterior mediastinal tumors

作　　者：刘贤丰 刘月 LIU Xian-feng;LIU Yue(Department of Thoracic Surgery,Jiujiang First People's Hospital,Jiujiang 332000,China)

机构地区：[1]九江市第一人民医院胸外科,332000 [2]九江市第一人民医院肿瘤内科,332000

出　　处：《中国现代药物应用》2023年第24期50-53,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨无胸管化治疗在剑突下胸腔镜前纵隔肿瘤治疗中的临床效果。方法48例前纵隔肿瘤患者,均采取剑突下胸腔镜前纵隔肿瘤切除术治疗,按照术后是否留置胸管引流分为研究组(20例)和对照组(28例)。研究组术后双侧胸腔不留置胸管,对照组术后于双侧锁骨中线肋弓交点处皮肤切口常规各留置一根胸管引流。对比两组患者的术后临床指标[术后第1天视觉模拟评分法(VAS)评分、术后住院时间、住院费用],术后并发症发生情况。结果研究组患者的术后第1天VAS评分(3.4±0.9)分低于对照组的(5.1±0.7)分、术后住院时间(3.2±0.7)d短于对照组的(4.5±0.9)d、住院费用(3.03±0.4)万元少于对照组的(3.43±0.5)万元,差异具有统计学意义(P<0.05)。两组患者的术后并发症发生率比较,差异无统计学意义(P>0.05)。结论无胸管化治疗在剑突下胸腔镜前纵隔肿瘤患者治疗中具有降低手术创伤、减轻疼痛、缩短住院时间与恢复快等明显优势,促进术后患者快速康复,具有临床意义。Objective To discuss the clinical effect of tubeless subxiphoid video-assisted thoracoscopic surgery in the treatment of anterior mediastinal tumors.Methods All 48 patients with anterior mediastinal tumor were treated with subxiphoid video-assisted thoracoscopic surgery.They were divided into a study group(20 cases)and a control group(28 cases)according to whether to place chest tube drainage after surgery.In the study group,no chest tubes were left in the bilateral thoracic cavity after surgery,and in the control group,one chest tube was routinely left in each of the skin incisions at the intersection of the rib arches in the midclavicular line after surgery to drain the chest.The postoperative clinical indicators[visual analogue scale(VAS)score on the first day postoperatively,postoperative hospital stay,hospitalization cost]and postoperative complications were compared between the two groups.Results VAS score on the first day postoperatively of(3.4±0.9)points in the study group was lower than that of(5.1±0.7)points in the control group,the postoperative hospital stay of(3.2±0.7)d was shorter than that of(4.5±0.9)d in the control group,and the hospitalization cost of(3.03±0.4)yuan was less than that of(3.43±0.5)yuan in the control group.The differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion Tubuless subxiphoid video-assisted thoracoscopic surgery in the treatment of anterior mediastinal tumors has obvious advantages of reducing surgical trauma,relieving pain,shortening hospital stay and rapid recovery.It can promote the rapid recovery of patients after surgery,and has clinical significance.

关 键 词：无胸管化 前纵隔肿瘤 剑突下 胸腔镜手术 快速康复 

分 类 号：R734.5[医药卫生—肿瘤]