中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
29期
35-38
,共4页
胸腔镜%纵隔肿瘤%开胸手术
胸腔鏡%縱隔腫瘤%開胸手術
흉강경%종격종류%개흉수술
Thoracoscope%Mediastinal tumor%Thoracotomy
目的 研究完全电视胸腔镜下手术治疗纵隔肿瘤的围手术期临床效果.方法 回顾性分析完全电视胸腔镜下手术治疗的纵隔肿瘤患者32例(观察组),选取传统开胸手术治疗的纵隔肿瘤患者53例(对照组),比较两组患者在手术时间、术中出血量、引流管留置时间、术后住院天数、术后并发症的发生情况及术后辅助镇痛药物应用情况.结果 两组患者均未发生围手术期死亡.观察组手术时间为(121.9±41.2) min,对照组手术时间为(141.7±35.2)min,两组比较差异无统计学意义(P＞0.05);而观察组在术中出血量[(116.0±53.2)ml]、引流管留置时间[(5.2±1.2)d]、术后住院天数[(8.5±1.3)d]、术后辅助应用镇痛药物的数量[(0.8±0.7)次]、术后并发症发生情况(3例)等方面明显优于对照组[分别为(147.2±45.2) ml、(6.8±2.2)d、(11.2±2.4)d、(2.1±0.9)次、15例],两组比较差异有统计学意义(P＜ 0.05).结论 胸腔镜手术治疗纵隔肿瘤创伤小、术后恢复快、并发症少,在纵隔肿瘤患者的治疗中具有较高的应用价值.
目的 研究完全電視胸腔鏡下手術治療縱隔腫瘤的圍手術期臨床效果.方法 迴顧性分析完全電視胸腔鏡下手術治療的縱隔腫瘤患者32例(觀察組),選取傳統開胸手術治療的縱隔腫瘤患者53例(對照組),比較兩組患者在手術時間、術中齣血量、引流管留置時間、術後住院天數、術後併髮癥的髮生情況及術後輔助鎮痛藥物應用情況.結果 兩組患者均未髮生圍手術期死亡.觀察組手術時間為(121.9±41.2) min,對照組手術時間為(141.7±35.2)min,兩組比較差異無統計學意義(P＞0.05);而觀察組在術中齣血量[(116.0±53.2)ml]、引流管留置時間[(5.2±1.2)d]、術後住院天數[(8.5±1.3)d]、術後輔助應用鎮痛藥物的數量[(0.8±0.7)次]、術後併髮癥髮生情況(3例)等方麵明顯優于對照組[分彆為(147.2±45.2) ml、(6.8±2.2)d、(11.2±2.4)d、(2.1±0.9)次、15例],兩組比較差異有統計學意義(P＜ 0.05).結論 胸腔鏡手術治療縱隔腫瘤創傷小、術後恢複快、併髮癥少,在縱隔腫瘤患者的治療中具有較高的應用價值.
목적 연구완전전시흉강경하수술치료종격종류적위수술기림상효과.방법 회고성분석완전전시흉강경하수술치료적종격종류환자32례(관찰조),선취전통개흉수술치료적종격종류환자53례(대조조),비교량조환자재수술시간、술중출혈량、인류관류치시간、술후주원천수、술후병발증적발생정황급술후보조진통약물응용정황.결과 량조환자균미발생위수술기사망.관찰조수술시간위(121.9±41.2) min,대조조수술시간위(141.7±35.2)min,량조비교차이무통계학의의(P＞0.05);이관찰조재술중출혈량[(116.0±53.2)ml]、인류관류치시간[(5.2±1.2)d]、술후주원천수[(8.5±1.3)d]、술후보조응용진통약물적수량[(0.8±0.7)차]、술후병발증발생정황(3례)등방면명현우우대조조[분별위(147.2±45.2) ml、(6.8±2.2)d、(11.2±2.4)d、(2.1±0.9)차、15례],량조비교차이유통계학의의(P＜ 0.05).결론 흉강경수술치료종격종류창상소、술후회복쾌、병발증소,재종격종류환자적치료중구유교고적응용개치.
Objective To explore the clinical value of video-assisted thoracoscopic mediastinal tumor resection.Methods The clinical data of 32 patients(observation group) who performed video-assisted thoracoscopic mediastinal tumor resection were retrospectively analyzed,compared them with 53 patients with mediastinal tumor who underwent traditional thoracotomy (control group).The clinical outcomes including operation time,intraoperative blood loss,chest drainage duration,postoperative hospital stay,postoperative complication and postoperative analgesia drug application were compared between two groups.Results No perioperative death was observed in two groups.There were no statistical difference in operation time between two groups [(121.9 ± 41.2) min vs.(141.7 ± 35.2) min] (P ＞ 0.05).The observation group was significantly better in the intraoperative blood loss [(116.0 ±53.2) ml],chest drainage duration [(5.2 ± 1.2) d],postoperative hospital stay [(8.5 ± 1.3) d],postoperative analgesia drug application [(0.8 ± 0.7) times],postoperative comolication (3 cases),than those of the control group [(147.2 ± 45.2) ml,(6.8 ± 2.2) d,(11.2 ± 2.4) d,(2.1 ± 0.9) times,15 cases].There were statistical differences between two groups (P ＜0.05).Conclusion Complete video-assisted thoracoscopic mediastinal tumor resection is a valuable way in the treatment of mediastinal tumor,rapidly recovery and less postoperative complication.
