电视胸腔镜手术治疗纵隔肿瘤32例临床分析

Clinical analysis of 32 patients undergoing complete video-assisted thoracoscopic mediastinal tumor resection

目的 研究完全电视胸腔镜下手术治疗纵隔肿瘤的围手术期临床效果.方法 回顾性分析完全电视胸腔镜下手术治疗的纵隔肿瘤患者32例（观察组）,选取传统开胸手术治疗的纵隔肿瘤患者53例（对照组）,比较两组患者在手术时间、术中出血量、引流管留置时间、术后住院天数、术后并发症的发生情况及术后辅助镇痛药物应用情况.结果 两组患者均未发生围手术期死亡.观察组手术时间为（121.9±41.2） min,对照组手术时间为（141.7±35.2）min,两组比较差异无统计学意义（P＞0.05）;而观察组在术中出血量[（116.0±53.2）ml]、引流管留置时间[（5.2±1.2）d]、术后住院天数[（8.5±1.3）d]、术后辅助应用镇痛药物的数量[（0.8±0.7）次]、术后并发症发生情况（3例）等方面明显优于对照组[分别为（147.2±45.2） ml、（6.8±2.2）d、（11.2±2.4）d、（2.1±0.9）次、15例],两组比较差异有统计学意义（P＜ 0.05）.结论 胸腔镜手术治疗纵隔肿瘤创伤小、术后恢复快、并发症少,在纵隔肿瘤患者的治疗中具有较高的应用价值.

Objective To explore the clinical value of video-assisted thoracoscopic mediastinal tumor resection.Methods The clinical data of 32 patients（observation group） who performed video-assisted thoracoscopic mediastinal tumor resection were retrospectively analyzed,compared them with 53 patients with mediastinal tumor who underwent traditional thoracotomy （control group）.The clinical outcomes including operation time,intraoperative blood loss,chest drainage duration,postoperative hospital stay,postoperative complication and postoperative analgesia drug application were compared between two groups.Results No perioperative death was observed in two groups.There were no statistical difference in operation time between two groups [（121.9 ± 41.2） min vs.（141.7 ± 35.2） min] （P ＞ 0.05）.The observation group was significantly better in the intraoperative blood loss [（116.0 ±53.2） ml],chest drainage duration [（5.2 ± 1.2） d],postoperative hospital stay [（8.5 ± 1.3） d],postoperative analgesia drug application [（0.8 ± 0.7） times],postoperative comolication （3 cases）,than those of the control group [（147.2 ± 45.2） ml,（6.8 ± 2.2） d,（11.2 ± 2.4） d,（2.1 ± 0.9） times,15 cases].There were statistical differences between two groups （P ＜0.05）.Conclusion Complete video-assisted thoracoscopic mediastinal tumor resection is a valuable way in the treatment of mediastinal tumor,rapidly recovery and less postoperative complication.