CAJ | 학술논문

目的观察行微创胸腔镜下手术与开胸手术治疗纵隔肿瘤患者的临床效果.方法选择的研究对象为2010年7月至2013年7月期间,我院收治的80例纵隔肿瘤患者,按照手术方式分为行微创胸腔镜下手术治疗的观察组和行开胸手术治疗的对照组,比较两组患者的治疗效果.结果观察组患者治疗总有效率为100.0％,对照组患者治疗总有效率为100.0％,差异无统计学意义(P＞0.05);在手术时间、住院时间、术中出血量、切口长度等指标上,观察组均优于对照组,差异具有统计学意义(P＜0.05).结论胸腔镜下行纵隔肿瘤切除术具有手术时间短、出血少、创伤小等特点,优于开胸纵隔肿瘤切除术,有着重要的临床参考意义,值得在胸外科推广应用.
목적 관찰행미창흉강경하수술여개흉수술치료종격종류환자적림상효과.방법 선택적연구대상위2010년7월지2013년7월기간,아원수치적80례종격종류환자,안조수술방식분위행미창흉강경하수술치료적관찰조화행개흉수술치료적대조조,비교량조환자적치료효과.결과 관찰조환자치료총유효솔위100.0％,대조조환자치료총유효솔위100.0％,차이무통계학의의(P＞0.05);재수술시간、주원시간、술중출혈량、절구장도등지표상,관찰조균우우대조조,차이구유통계학의의(P＜0.05).결론 흉강경하행종격종류절제술구유수술시간단、출혈소、창상소등특점,우우개흉종격종류절제술,유착중요적림상삼고의의,치득재흉외과추엄응용.
Objective To observe the clinical effects of surgery under minimally invasive thoracoscope and thoracotomy surgery for patients with mediastinal tumors.Methods 80 patients with mediastinal tumors admitted into our hospital from July,2010 to July,2013 were selected and divided into an observation group and a control group according to the surgical methods.The observation group was given surgery under minimally invasive thoracoscope,while the control group was given thoracotomy surgery.And the curative effects were compared between these two groups.Results The total effective rate was 100.0％ in both the observation group and the control group,with no statistical difference(P＞0.05);however,the operation time,hospitalization time,intraoperative blood loss,incision length,etc.were better in the observation group than in the control group,with statistical differences (P＜0.05).Conclusions Surgery under thoracoscope for mediastinal tumor has the advantages of shorter operation time,less blood loss,and milder trauma,etc.It is better than thoracotomy,has an important clinical significance,and is worth being generalized in thoracic.