102例良性原发性纵隔肿瘤的治疗分析

Surgical treatment of benign primary mediastinal tumors:An analysis of 102 cases

目的比较常规开胸手术与胸腔镜手术对良性原发性纵隔肿瘤的治疗效果。方法收集2001年1月—2019年12月接受手术治疗良性原发性纵隔肿瘤患者的临床资料,将患者分为常规开胸手术组和胸腔镜手术组进行回顾性分析。结果共纳入102例患者资料,常规开胸手术组40例,胸腔镜手术组62例。与常规开胸手术组比较,胸腔镜手术组切口较小,术中出血量和术后胸腔引流量较少,手术时间、留置胸腔引流管时间和术后住院时间较短,术后并发症的发生率较低,两组间差异均有统计学意义(P<0.05)。结论胸腔镜手术对良性原发性纵隔肿瘤的治疗效果明显优于常规开胸手术,对患者术后快速康复更为有利。

Objective To compare the therapeutic effects of conventional thoracotomy and thoracoscopic surgery on benign primary mediastinal tumors.Methods The clinical data of patients with benign primary mediastinal tumors admitted to our hospital from January 2001 to December 2019 were collected.The patients were divided into routine thoracotomy group and thoracoscopic surgery group.Results The clinical data of 102 patients were collected,40 patients in routine thoracotomy group and 62 patients in thoracoscopic surgery group.Compared with the routine thoracotomy group,the thoracoscopic surgery group had smaller incision,less intraoperative bleeding and less postoperative thoracic drainage,shorter operation time,indwelling thoracic drainage tube time and postoperative hospitalization time,lower incidence of postoperative complications.The differences between the two groups were statistically significant(P<0.05).Conclusions The efficacy of thoracoscopic surgery on benign primary mediastinal tumor is better than that of conventional thoracotomy.