常规开胸与胸腔镜下治疗早期胸腺瘤的临床研究

Clinical studies of early thymoma with the treatments of conventional thoracotomy and video-assisted thoracoscopic surgery

目的比较常规开胸与胸腔镜下治疗早期胸腺瘤的临床效果,探讨胸腔镜下治疗早期胸腺瘤的可行性及优越性。方法回顾分析96例常规开胸(40例)和胸腔镜(56例)治疗的早期胸腺瘤患者,观察两种治疗方式的术后临床情况和并发症情况的差异。结果胸腔镜组与常规开胸组相比,手术时间、术后拔管时间和术后住院时间短,术中出血和术后胸腔积液引流量少,差异有统计学意义(P<0.05);胸腔镜组发生并发症的例数少于常规开胸组,差异有统计学意义(P<0.05);随访期间,胸腔镜组无复发和转移者,常规开胸组出现1例。结论胸腔镜较常规开胸治疗早期胸腺瘤具有明显优势。

Objective To compare the clinical effect of conventional thoracotomy and video-assisted thoracoscopic surgery（VATS） for early thymoma, and to investigate the feasibility and superiority of video-assisted thoracoscopic surgery. Method Retrospectively, 96 cases of early thymoma were treated with conventional thoracotomy（40 cases） and（VATS）（56 cases） to observe the clinical outcomes and the differences of postoperative complications. Result Compared with conventional thoracotomy group, the operation time, postoperative extubation time and postoperative hospital stay in VATS group were shorter; Moreover, the intraoperative hemorrhage and postoperative pleural effusion were less in VATS group, and the differences were of statistical significance（P〈0.05）. In terms of complications, VATS group had significantly fewer cases than that in conventional thoracotomy group（P〈0.05）. During follow-up, there was no recurrence and metastasis in VATS group, however, there was one case in conventional thoracotomy group. Conclusion VATS has obvious advantages for early thymoma.