摘要
目的探讨并分析单操作孔胸腔镜在纵隔肿瘤手术中的效果及安全性。方法选取2008年3月至2013年3月间收治的纵隔肿瘤患者100例,随机分为观察组和对照组(各50例)。观察组患者采用单操作孔胸腔镜,对照组患者采用双操作孔胸腔镜进行操作。观察并分析平均住院时间、平均带管时间、手术时间、术中出血量、术后胸腔引流量、术后疼痛感及肺功能等各项指标。结果观察组患者手术时间明显少于对照组,差异有统计学意义(P<0.05)。观察组患者术中出血量、术后疼痛感指标分别为(18.8±4.59)ml和(1.29±0.24)分,对照组患者出血量、术后疼痛感指标为(29.8±5.36)ml和(2.62±0.45)分,差异有统计学意义(P<0.05)。观察组患者手术后肺功能各项指标均高于手术前,差异有统计学意义(P<0.05)。结论单操作孔胸腔镜在纵隔肿瘤手术中具有创伤小、术中出血量少、安全、术后疼痛感轻、术后肺功能恢复快等优势,适合在临床上广泛推广。
Objective To explore and analyze effect and safety of single operation hole thoraco- scopic surgery in mediastinal tumors. Methods 100 patients with mediastinal tumors admitted to our hospi- tal from March 2008 to March 2013 were randomly divided into the observation group and the control group. The observation group received single operation hole thoracoscopic surgery, while the control group dual operation hole thoracoscopic surgery. The average holpitalization time, the average time with a pipe, op- eration time, operative blood loss, postoperative chest drainage, postoperative pain and pulmonary functions were observed. Results The mean operative time of the observation group was significantly less than that of the control group. Blood loss and postoperative pain were （ 18.8 _＋ 4. 59） ml and （ 1.29 _＋ 0. 24） respec- tively,and these of the control group （29.8 ＋ 5.36） ml and （2. 62 -＋ 0. 45） respectively,the former were significantly smaller than the latter. And lung function of the observation group after surgery were higher than that before the surgery, the difference statistically significant （ P 〈 0. 05 ）. Conclusions single operation hole thoracoscopy mediastinal tumor surgery is charactered by less trauma,less blood loss, safety, mild post- operative pain, faster recovery of pulmonary function and so on, which is worthy of wild clinical practice.
出处
《中国肿瘤临床与康复》
2014年第3期328-330,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
单操作孔胸腔镜
纵隔肿瘤手术
效果
安全性
Single operation hole thoracoscopy
Mediastinal tumors
Effect
Safety
