电视胸腔镜手术与传统手术治疗胸腺瘤的临床对照研究

Clinical Competitive Study of Video-assisted Thoracic Surgery and Tradi-tional Surgery in the Treatment of Treatment of Thymoma

目的探讨电视胸腔镜手术与传统开胸手术治疗胸腺瘤的临床疗效。方法整群选取该院在2009年2月—2016年2月间收治并诊断为胸腺瘤的96例患者作为研究对象,利用随机数字表法将其分成两组,每组48例。研究组给予电视胸腔镜手术治疗,对照组给予传统开胸手术治疗。观察并比较两组患者术中、术后情况以及并发症发生情况。结果研究组切口长度、术中出血量、术后引流量、术后住院时间均显著低于对照组(P<0.05);研究组并发症发生率为4.17%,显著低于对照组(P<0.05)。结论电视胸腔镜手术与传统开胸手术相比具有切口小、创伤小、恢复快、并发症少等优点,值得临床推广应用。

Objective To investigate the clinical curative effect of video-assisted thoracic surgery and traditional surgery in the treatment of treatment of thymoma. Methods Group selection 96 patients with thymoma in our hospital from February 2009 to February 2016 were selected as the research objects and were randomly divided into two groups, 48 cases in each group. Patients in the study group were treated with video-assisted thoracic surgery while patients in the control group were treated with traditional open chest surgery. Intraoperative and postoperative conditions and the occurrence of complications of the patients in two groups were observed and compared. Results The length of incision, blood loss in operation, postop-erative drainage and hospital stay in the study group were significantly lower than those in the control group （P﹤0.05）. The incidence rate of the study group was 4.17%, which was significantly lower than that of the control group （P﹤0.05）. Conclusion Video-assisted thoracic surgery has the advantages of small incision, less trauma, faster recovery, less complications and so on compared to the traditional open chest surgery. It is worthy to be popularized and applied in clinical practice.