经肋间VATS手术与常规手术治疗原发性纵隔肿瘤的效果比较

Comparison of transcostal VATS and conventional surgery in the treatment of primary mediastinal tumors

目的:进一步探索经肋间胸腔镜手术(intercostai approach video-assisted thoracoscopic surgery,I-VATS)与常规开胸手术治疗原发性纵隔肿瘤的临床效果。方法:将2008年1月至2018年6月在我院治疗的原发性纵隔肿瘤患者共100例,分成两组,胸腔镜组(简称I-VATS组)52例;常规开胸组(简称TH组)48例;比较两组患者切口长度、手术时间、术中出血量、术后总的胸腔引流量、留置引流管时间、住院时间、并发症发生率等相关的指标。结果:在手术时间、术中出血量、术后总的胸腔引流量、留置引流管时间、住院时间、并发症发生率等相关的指标比较上,差异具有统计学意义(P<0.05)。结论:在治疗原发性纵隔肿瘤中,采用I-VATS微创技术治疗,明显缩短住院时间,减少相关的并发症,使患者术后达到快速康复的效果,是一种比较理想的手术治疗方法。

Objective:To further explore the clinical effect of intercostal approach video-assisted thoracoscopic surgery(I-VATS)and conventional thoracotomy in the treatment of primary mediastinal tumors.Methods:A total of 100 patients with primary mediastinal tumors treated in our hospital from January 2008 to June 2018 were divided into two groups,52 patients in the thoracoscopic group(I-VATS group)and 48 patients in the conventional thoracotomy group(TH group).The incision length,operation time,intraoperative bleeding volume,thoracic drainage flow,indwelling drainage tube time,hospitalization time and complication rate were compared between the two groups.Results:There were significant differences in operative time,intraoperative bleeding volume,thoracic drainage volume,indwelling drainage tube time,hospitalization time and complication rate(P<0.05).Conclusion:In the treatment of primary mediastinal tumors,I-VATS minimally invasive technique can significantly shorten the hospitalization time,reduce the related complications,and make the patients recover quickly after operation.It is an ideal surgical treatment method.