胸腔镜微创手术治疗胸腺瘤的临床效果及预后分析

Analysis on the Clinical Effect and Prognosis of Thoracoscopic Minimally Invasive Surgery in the Treatment of Thymoma

目的探讨胸腔镜微创手术治疗胸腺瘤的效果。方法86例胸腺瘤患者分为两组,对照组采用开胸手术,观察组采用胸腔镜微创手术,比较两组的手术及术后指标、应激指标以及随访结局。结果观察组的术中出血量少于对照组,手术、下床活动、引流管留置时间短于对照组,术后1 d的Cor、ACTH、Ang-Ⅱ水平低于对照组(P<0.05)。两组的复发转移率比较,差异无统计学意义(P>0.05)。结论胸腔镜微创手术治疗胸腺瘤的创伤轻、术后恢复快、安全性高、预后好,可减轻患者应激反应。

Objective To explore the effect of thoracoscopic minimally invasive surgery in the treatment of thymoma.Methods A total of 86 patients with thymoma were divided into two groups.The control group received thoracotomy,and the observation group received thoracoscopic minimally invasive surgery.The surgical and postoperative indicators,stress indicators and follow-up outcome were compared between the two groups.Results The intraoperative blood loss amount in the observation group was less than that in the control group,the operation time,ambulation time and drainage tube indwelling time were shorter than those in the control group,and the levels of Cor,ACTH and Ang-Ⅱat 1 d after surgery were lower than those in the control group(P<0.05).No significant difference was found in the rate of recurrence or metastasis between the two groups(P>0.05).Conclusions Thoracoscopic minimally invasive surgery in the treatment of thymoma has light trauma,rapid postoperative recovery,high safety and good prognosis,which can relieve the stress response of patients.