探讨胸腔镜和传统开胸手术治疗纵膈肿瘤的临床疗效

To Investigate the Clinical Effect of Thoracic Cavity and Traditional Open Chest Surgery for the Treatment of Mediastinal Tumors

目的 分析胸腔镜和传统开胸手术在纵膈肿瘤治疗中的临床效果。方法 选取我院2013年10月-2015年7月收治的40例纵膈肿瘤患者为研究对象,随机将40例患者分为观察组和对照组。对照组患者实施传统开胸手术,观察组患者行胸腔镜辅助切除术,两组患者在经过治疗后比较其临床治疗效果。结果 各项手术指标比较,观察组均明显优于对照组,手术时间、引流时间、住院时间均明显优于对照组,观察组共发生肺部感染1例,并发症发生率为5.00%;对照组共发生肺部感染3例、刀口液化1例,肺不张2例,并发症发生率为30.00%,两组对比,差异均有统计学意义（P〈0.05）。结论 在纵膈肿瘤患者的治疗中,胸腔镜手术的效果优于传统开胸手术。

Objective To analyze the clinical effect of thoracic and conventional thoracotomy in the treatment of mediastinal tumors.Methods In our hospital from October 2013 to July 2015, 40 cases of patients with mediastinal tumors were selected as the research object, 40 cases of patients were randomly divided into observation group and control group. Patients in the control group were treated with traditional open chest surgery. Patients in the observation group received assisted thoracic surgery. The clinical treatment effect was compared between two groups after treatment.Results The observation group was signiifcantly better than the control group, operation time, drainage time and hospitalization time were signiifcantly due to the control group, the observation group were 1 cases of pulmonary infection, the complication rate was 5%; The control group occurred in 3 cases, 1 cases of wound lfuid of pulmonary infection, 2 cases of pulmonary atelectasis, the complication rate was 30%, the differences were statistically significant （P 〈 0.05）.Conclusion In the treatment of patients with mediastinal tumor, the effect of thoracic surgery is better than that of traditional open chest surgery.