湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
4期
80-81,82
,共3页
刘日清%刘如锋%阮永军%黄仁林
劉日清%劉如鋒%阮永軍%黃仁林
류일청%류여봉%원영군%황인림
纵膈肿瘤%胸腔镜%小切口%开胸手术
縱膈腫瘤%胸腔鏡%小切口%開胸手術
종격종류%흉강경%소절구%개흉수술
mediastinal tumor%thoracoscopy%small incision%open chest operation
目的：分析胸腔镜下纵膈肿瘤切除术治疗纵膈肿瘤的疗效及安全性。方法：选择2010年5月～2013年5月间在本院接受手术治疗的纵膈肿瘤患者，分别给予常规开胸手术及胸腔镜微创手术治疗，比较两组患者的手术相关指标、术后并发症等情况差异。结果：观察组手术时间（1.27±0.41）h、切口长度（6.54±1.14）cm、术中出血量（98.34±11.05）mL、术后引流时间（2.04±0.25）d、总住院时间（5.23±0.84）d、疼痛评分（3.91±1.24）、术后并发症发生率（5.13%）明显低于对照组患者。结论：胸腔镜下微创纵膈肿瘤切除术可以有效缩短手术时间、减少术中出血、促进术后康复、减少术后并发症发生，具有积极的临床意义。
目的：分析胸腔鏡下縱膈腫瘤切除術治療縱膈腫瘤的療效及安全性。方法：選擇2010年5月～2013年5月間在本院接受手術治療的縱膈腫瘤患者，分彆給予常規開胸手術及胸腔鏡微創手術治療，比較兩組患者的手術相關指標、術後併髮癥等情況差異。結果：觀察組手術時間（1.27±0.41）h、切口長度（6.54±1.14）cm、術中齣血量（98.34±11.05）mL、術後引流時間（2.04±0.25）d、總住院時間（5.23±0.84）d、疼痛評分（3.91±1.24）、術後併髮癥髮生率（5.13%）明顯低于對照組患者。結論：胸腔鏡下微創縱膈腫瘤切除術可以有效縮短手術時間、減少術中齣血、促進術後康複、減少術後併髮癥髮生，具有積極的臨床意義。
목적：분석흉강경하종격종류절제술치료종격종류적료효급안전성。방법：선택2010년5월～2013년5월간재본원접수수술치료적종격종류환자，분별급여상규개흉수술급흉강경미창수술치료，비교량조환자적수술상관지표、술후병발증등정황차이。결과：관찰조수술시간（1.27±0.41）h、절구장도（6.54±1.14）cm、술중출혈량（98.34±11.05）mL、술후인류시간（2.04±0.25）d、총주원시간（5.23±0.84）d、동통평분（3.91±1.24）、술후병발증발생솔（5.13%）명현저우대조조환자。결론：흉강경하미창종격종류절제술가이유효축단수술시간、감소술중출혈、촉진술후강복、감소술후병발증발생，구유적겁적림상의의。
ObjectiveTo analyze the therapeutic effect and security of minimally invasive thoracoscopic resection on pa-tients with mediastinal tumor. Methods We collected mediastinal tumor patients who undergone surgery in our hospitalas from May 2010 to May 2013.They were divided into two groups who were given conventional open chest operation or thoracoscopic resection respectively. The surgery-related indicators and complications after operation were compared between the two groups. Results The operating time(1.27±0.41)h, incision length(6.54±1.14)cm, intraoperative blood loss (98.34±11.05)mL, postoper-ative drainage time(2.04±0.25)d, hospital stays (5.23±0.84)d, pain score(3.91±1.24) and the rate of postoperative complications (5.13%) of the observation were significantly lower than that of control group. Conclusion Minimally invasive thoracoscopic resection for mediastinal tumors can effectively shorten the operation time, reduce operation bleeding and promote postoperative rehabilitation. What’s more, it can reduce postoperative complications, having a positive clinical significance.
