经剑突下胸腔镜手术对前纵隔肿瘤的治疗效果

Effect of Transthoracic Thoracoscopy on Anterior Mediastinal Tumor

目的观察经剑突下胸腔镜手术(S-VATS)对前纵隔肿瘤的治疗效果和安全性。方法选取2018年1月—2019年12月期间于本院医治前纵隔肿瘤的26例患者,以采取的不同术法为分组依据,将其分为采取S-VATS手术的研究组、采取开胸手术的对照组,每组13例。组间对比手术时间、住院时间、引流时间、术后VAS评分、术中出血量、并发症发生率。结果研究组的手术时间、住院时间、引流时间比对照短,术中出血量比对照组少,术后VAS疼痛评分和并发症发生率比对照组低,差异均存在统计学意义(P <0.05)。结论 S-VATS手术对前纵隔肿瘤具有比开胸手术更高的安全性和有效性。

Objective To observe the efficacy and safety of S-VATS in the treatment of anterior mediastinal tumors.Methods 26 patients with mediastinal tumors treated in our hospital from January 2018 to December 2019 were selected.Based on different surgical Methods They were divided into study groups that underwent S-VATS surgery,The control group of thoracic surgery,13 cases in each group.The operation time,hospital stay,drainage time,postoperative VAS score,intraoperative blood loss,and complication rate were compared between groups.Results The operation time,hospitalization time,and drainage time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the postoperative VAS pain score and complication rate were lower than those of the control group.P<0.05.Conclusion S-VATS surgery is safer and more effective for anterior mediastinal tumors than thoracotomy.