胸腔镜下微创手术对纵隔肿瘤的治疗效果及对术后血栓形成的预防效果分析

Analysis of the Effect of Minimally Invasive Thoracoscopic Surgery on Mediastinal Tumors and the Preventive Effect of Postoperative Thrombosis

目的通过将常规开胸手术治疗、胸腔镜下微创手术治疗两种手术方案应用后,比较患者相关指标和安全性进行,分析两种手术方案的实际应用效果。方法选取2016年7月—2021年7月该院接受手术治疗的100例纵隔肿瘤患者,随机分为对照组和观察组,每组50例,分别采用常规开胸手术治疗、胸腔镜下微创手术治疗。比较两组治疗效果。结果观察组患者的术中出血量更低,手术时间更短,术后引流管留置时间、术后至下床活动所需时间以及住院时长更短,组间对比,差异有统计学意义(P<0.05)。治疗前,两组各项凝血指标组间相较,差异无统计学意义(P>0.05);治疗后,两组指标均有所改善,且观察组的各项指标更优,组间对比,差异有统计学意义(P<0.05)。观察组患者不良事件发生率(12.00%)比对照组(40.00%)更低,组间对比,差异有统计学意义(χ^(2)=10.187,P=0.001)。结论胸腔镜下微创手术对纵隔肿瘤的治疗效果显著。

Objective To compare the relevant indicators and safety of the patients after the application of the conventional thoracotomy and minimally invasive thoracoscopic surgery to analyze the actual application effects of the two surgical procedures.Methods A total of 100 patients with mediastinal tumors who received surgical treatment in the hospital from July 2016 to July 2021 were selected and randomly divided into the control group and the observation group,with 50 cases in each group.Routine thoracotomy and minimally invasive thoracoscopic surgery were used.The treatment effects of the two groups were compared.Results The patients in the observation group had lower intraoperative bleeding,shorter operation time,shorter retention time of postoperative drainage tube,shorter time from operation to getting out of bed and shorter length of hospital stay,the difference was statistically significant(P<0.05).There was no statistically significant difference between the two groups before treatment(P>0.05);after treatment,the indexes of the two groups were improved,and the indexes of the observation group were better,the difference was statistically significant(P<0.05).The incidence of adverse events in the observation group(12.00%)was lower than that in the control group(40.00%)the difference was statistically significant(χ^(2)=10.187,P=0.001).Conclusion Minimally invasive surgery under thoracoscopy is effective in the treatment of mediastinal tumors.