机器人与正中开胸心房黏液瘤切除术后生活质量的比较观察

Quality of life after robotic and conventional atrial myxoma excision: a comparative observation

目的利用术后生活质量调查量表对比观察机器人与正中开胸术式对心房黏液瘤切除术后患者恢复的影响情况。方法自2007年1月至2013年1月期间,共有93位患者在本单位分别接受了常规开胸(STER组)或机器人微创(ROBO组)的心房黏液瘤切除术。利用生活质量调查量表(SF-36)评估上述患者手术后30天和6个月时的临床结果。结果术后30天,在评价生活质量(QOL)的8个变量中,ROBO组有7个得分明显高于STER组(P<0.05)。ROBO组手术后的疼痛程度及其对生活和工作的影响明显低于STER组(P<0.05)。ROBO组患者手术后(0.9±0.1)个月即可回到工作岗位,但STER组患者则需要(3.3±0.4)个月的病休。结论机器人术式同正中开胸相比,术后生活质量更高,并能较快的恢复正常生活。

Objective To comparesurgical outcome of atrial myxoma excision by robotic cardiac surgery and conventional open-chest surgery.Methods Between January 2007 and January 2013, 93 patients underwent conventional sternotomy（STER group） orrobotically（ROBO group） assisted atrial myxoma excision in our unit. The Medical Outcomes Study Short Form Survey（SF-36） wasused to analyze the clinical outcomes of these patients at postoperative day-30 and 6-month.Results Among 8 quality of life（QOL）scores, 7 scores of the ROBO group were significantly higher than the STER group at postoperative day-30（P〈0.05）. Also, the painintensity and its influence on work or life were much lower in ROBO group（P〈0.05）. The patients in ROBO group returned to work（0.9±0.1） months after surgery, while the STER group patients needed a（3.3±0.4） months＇ sickness leave.Conclusion The resto-ration of normal life quality within 30 days after atrial myxoma surgery is promising by using robotic approach. A robotic approach maycontribute to an early return to employment and get satisfactory recovery.