CAJ | 학술논문

目的：比较常规开胸与胸腔镜下治疗早期胸腺瘤的临床效果，探讨胸腔镜下治疗早期胸腺瘤的可行性及优越性。方法回顾分析96例常规开胸（40例）和胸腔镜（56例）治疗的早期胸腺瘤患者，观察两种治疗方式的术后临床情况和并发症情况的差异。结果胸腔镜组与常规开胸组相比，手术时间、术后拔管时间和术后住院时间短，术中出血和术后胸腔积液引流量少，差异有统计学意义（P＜0.05）；胸腔镜组发生并发症的例数少于常规开胸组，差异有统计学意义（P＜0.05）；随访期间，胸腔镜组无复发和转移者，常规开胸组出现1例。结论胸腔镜较常规开胸治疗早期胸腺瘤具有明显优势。
목적：비교상규개흉여흉강경하치료조기흉선류적림상효과，탐토흉강경하치료조기흉선류적가행성급우월성。방법회고분석96례상규개흉（40례）화흉강경（56례）치료적조기흉선류환자，관찰량충치료방식적술후림상정황화병발증정황적차이。결과흉강경조여상규개흉조상비，수술시간、술후발관시간화술후주원시간단，술중출혈화술후흉강적액인류량소，차이유통계학의의（P＜0.05）；흉강경조발생병발증적례수소우상규개흉조，차이유통계학의의（P＜0.05）；수방기간，흉강경조무복발화전이자，상규개흉조출현1례。결론흉강경교상규개흉치료조기흉선류구유명현우세。
Objective To compare the clinical effect of conventional thoracotomy and video-assisted thoracoscop-ic surgery (VATS) for early thymoma, and to investigate the feasibility and superiority of video-assisted thoracoscop-ic surgery. Method Retrospectively, 96 cases of early thymoma were treated with conventional thoracotomy (40 cas-es) and (VATS) (56 cases) to observe the clinical outcomes and the differences of postoperative complications. Re-sult Compared with conventional thoracotomy group, the operation time, postoperative extubation time and postop-erative hospital stay in VATS group were shorter; Moreover, the intraoperative hemorrhage and postoperative pleural effusion were less in VATS group, and the differences were of statistical significance (P<0.05). In terms of complica-tions, VATS group had significantly fewer cases than that in conventional thoracotomy group (P<0.05). During fol-low-up, there was no recurrence and metastasis in VATS group, however, there was one case in conventional thora-cotomy group. Conclusion VATS has obvious advantages for early thymoma.