摘要
目的探讨微创胸腔镜手术治疗纵膈肿瘤的疗效及并发症情况。方法选取2016年5月—2017年5月于我院胸外科进行治疗的纵膈肿瘤患者40例,按照治疗方式的差异分为研究组和对照组,对照组患者采用开胸纵膈肿瘤切除术进行治疗,研究组采用微创胸腔镜方式进行治疗。研究对比两组患者疗效以及并发症的差异。结果研究组患者手术患者住院时间、下床活动时间、引流管留置时间、手术时间均短于对照组(P <0.05),术中失血量以及VAS评分少于对照组(P <0.05);研究组患者未出现并发症,对照组患者出现肺部感染2例、肺不张2例胸膜腔粘连1例,研究组治疗安全性优于对照组(χ~2=4.50,P <0.05)。结论微创胸腔镜治疗纵膈肿瘤效果显著,可显著提升治疗的整体效果,且并发症较少,具有较高的治疗安全性。
Objective To investigate the efficacy and complications of minimally invasive thoracoscopic surgery for mediastinal tumors.Methods Forty patients with mediastinal tumors who underwent thoracic surgery from May 2016 to May 2017 were enrolled in the study group and the control group.The control group was treated with thoracotomy and mediastinum,the study group was treated with minimally invasive thoracoscopic surgery.The curative effect and complications of the two groups were compared.Results The length of hospital stay,time to get out of bed,indwelling time of drainage tube,and operation time were shorter in the study group than in the control group(P<0.05).The blood loss and VAS score were lower in the study than in the control group(P<0.05).There were no complications in the study group.In the control group,there were 2 cases of pulmonary infection and 2 cases of atelectasis.The safety of the study group was significantly better than that of the control group(χ^2=4.50,P<0.05).Conclusion Minimally invasive thoracoscopic treatment of mediastinal tumors has a significant effect,which can significantly improve the overall effect of treatment,with fewer complications and higher treatment safety.
作者
薛武
XUE Wu(Department of Thoracic Surgery,Fuzhou First Hospital,FuzhouFujian 350009,China)
出处
《中国卫生标准管理》
2019年第1期48-50,共3页
China Health Standard Management
关键词
微创
腔镜
纵膈肿瘤
临床疗效
安全性
VAS评分
minimally invasive
laparoscopic
mediastinal tumor
clinicalefficacy
safety
VAS score
