双极电刀在胸廓入口肿瘤切除术中的应用

The role of bipolar electric scalpel in thoracic inlet tumor resection

目的 探讨双极电刀在胸廓入口肿瘤切除术中的作用.方法 对采用单级电刀切除胸廓入口肿瘤25例和双极电刀切除胸廓入口肿瘤29例的临床资料进行对比分析.结果 采用单级电刀切除胸廓入口肿瘤患者25例,手术时间为（161.48 ±32.26） min;术中出血量为（159.20±14.11） ml;术后胸管引流时间为（3.32±0.69）d;术后并发霍纳综合征5例;术后住院时间为（10.72±0.79）d.采用双级电刀切除胸廓入口肿瘤患者29例,手术时间为（144.66±33.73） min;术中出血量为（155.86±10.33） ml;术后胸管引流时间为（3.37±0.82）d;术后并发霍纳综合征0例;术后住院时间为（10.79 ±0.77）d.结论 采用双极电刀治疗胸廓入口肿瘤,与采用单级电刀比较,可明显减少霍纳综合征发生率.

Objective To explore the role of bipolar electric scalpel in thoracic inlet tumor resection.Methods The clinical data following thoracic inlet tumor resection with bipolar electric scalpel （25 cases） and with unipolar electric scalpel （29 cases） were analyzed.Results In 25 cases subject to the thoracic inlet tumor resection with unipolar electric scalpel,the operation time was （161.48 ± 32.26） mins,blood loss was （159.20 ± 14.11） ml,the tube indwelling time was （3.32 ± 0.69） days,the length of hospital stay was （10.72 ±0.79） days,and the Horner syndrome occurred in 5 cases.In 29 cases subject to the thoracic inlet tumor resection with bipolar electric scalpel,the operation time was （144.66 ± 33.73） min,blood loss was （155.86 ± 10.33） ml,the tube indwelling time was （3.37 ± 0.82） days,the length of hospital stay was （10.79 ±0.77） days,and the Horner syndrome occurred in 5 cases.Conclusion Compared to the unipolar electric scalpel,the thoracic inlet tumor resection with the bipolar electric scalpel had a significantly low incidence of the Horner syndrome.