电视胸腔镜手术与传统手术对胸腺瘤患者治疗的临床效果分析

Comparative analysis of video-assisted thoracoscopic surgery with conventional surgery for patients with thymoma clinical effect

目的比较分析电视胸腔镜手术与传统手术对胸腺瘤患者治疗的临床效果。方法选取52例胸腺瘤患者随机分成实验组和对照组,每组26例。对照组接受传统手术方法,实验组接受电视胸腔镜手术方法治疗。对比分析2组患者的术中出血量、手术切口、手术时间、止痛药物应用、住院时间及并发症情况等指标。结果实验组患者术中出血量和切口大小以及止痛药物应用量均少于对照组,差异具有统计学意义（P〈0.05）;实验组手术时间、住院时间明显短于对照组,并发症明显低于对照组,差异均具有统计学意义（P〈0.05）。结论电视胸腔镜手术方法在治疗胸腺瘤时安全可靠,具有创伤小、恢复快、可减轻疼痛、并发症少的特点,应当得到临床推广应用。

Objective To compare the clinical effect of video-assisted thoracoscopic surgery and traditional surgery on patients with thymoma.Methods 52 patients with thymoma were randomly divided intoexperimental group and control group each with 26 cases.The control group received the traditional surgical method.The experimental group was treated by video-assisted thoracoscopic surgery.To compare the two groups of patients with intraoperative blood loss,surgical incision,operation time,analgesic drug use,hospital stay and complications and other indicators.Results The intraoperative blood loss,incision size and the amount of analgesic drug application of the experimental group were significantly smaller than those of the control group（P〈0.05）.The operation time and hospitalization time were significantly shorter than those of the control group.The complication was significantly lower than the control group,the difference was statistically significant（P〈0.05）.Conclusion Video-assisted thoracoscopic surgery is safe and reliable in the treatment of thymoma.It has the characteristics of less trauma,quick recovery,less pain and less complication.It should be widely used in clinical practice.