胸腔镜微创与传统开胸手术治疗原发性纵隔肿瘤的临床疗效对比

Comparison of Clinical Efficacy of Thoracoscopic Minimally Invasive and Traditional Thoracotomy for Primary Mediastinal Tumors

目的:分析胸腔镜微创与传统开胸手术治疗原发性纵隔肿瘤的临床疗效。方法:选取2005年6月-2022年10月泗洪县第一人民医院收治的原发性纵隔肿瘤患者18例为观察对象,其中15例患者接受传统开胸手术治疗,3例患者接受胸腔镜微创手术治疗。分析患者临床指标、不良反应发生率、生活质量[世界卫生组织生存质量测定量表(WHO-QOL)]。结果:胸腔镜微创手术的手术时间、胸管留置时间、住院时间短于传统开胸手术,术中出血量少于传统开胸手术;胸腔镜微创手术可见术后饮水进食呛咳不良反应,传统开胸手术可见术后饮水进食呛咳、声音嘶哑、切口感染不良反应;胸腔镜微创手术与传统开胸手术患者均在术后得到生活质量改善。结论:手术方式对术者的要求不同,传统手术有丰富的临床经验参考,腔镜手术创伤小,恢复快,切口美观,但该术式对设备,术者手术经验和熟练程度要求较高。

Objective:To analyze the clinical efficacy of thoracoscopic minimally invasive surgery and traditional thoracotomy in the treatment of primary mediastinal tumors.Methods:Eighteen patients with primary mediastinal tumor admitted to the Sihong County First People's Hospital from June 2005 to October 2022 were selected as the subjects of observation.Fifteen patients underwent traditional thoracotomy and three underwent thoracoscopic minimally invasive surgery.Clinical indicators,incidence of adverse reactions and quality of life(WHO-QOL)were analyzed.Results:The operative time,chest tube indindent time and hospital stay of thoracoscopic minimally invasive surgery were shorter than those of traditional thoracotomy,and the intraoperative blood loss is less than that of traditional thoracotomy.Thoracoscopic minimally invasive surgery can be seen postoperative adverse reactions of coughing,drinking and eating,while traditional thoracotomy can be seen postoperative adverse reactions of coughing,hoarseness and incision infection.Quality of life had been improved after thoracoscopic minimally invasive surgery and traditional thoracotomy.Conclusion:Surgical methods have different requirements on the surgeon.Traditional surgery has rich clinical experience for reference.Endoscopic surgery has less trauma,quick recovery and beautiful incision,but it has higher requirements on the equipment,surgical experience and proficiency of the surgeon.