胸腔镜下纵隔肿瘤切除100例临床分析

摘要

Objective:To investigate the curative effect of video -assisted thoracoscopic resection of mediastinal tumor.Methods:One hundred patients under the thoracoscopic mediastinal tumor resection were collected treated by a double lumen endotracheal intubation,intravenous anesthesia,thoracoscopic mediastinal tumor resection.Results:One hundred cases of operating mediastinal tumor patients were all successful,without conversions to open chest operation. The operation time was (75.6 ±5.2)min,and the intraoperative blood loss was (60.10 ±7.8)ml,with the postoper-ative chest drainage time 1 ~4 days,and the postoperative hospitalization time 3 ~7 days.No improvement in 9 cases with myasthenia gravis,2 cases with simple anemia symptoms.Conclusion:Video -assisted thoracoscopic mediastinal tumor resection operation is minimally invasive,safe,and can shorten postoperative recovery time.%目的：探讨电视胸腔镜下纵隔肿瘤切除的疗效。方法：收集本院胸外科2011年1月－2013年12月电视胸腔镜下纵隔肿瘤切除的患者100例。采用双腔气管插管，静脉复合麻醉，胸腔镜下操作纵隔肿瘤切除术。记录纵隔肿瘤患者手术时间、术中出血量、胸腔引流管放置时间、术后引流量、住院时间、术后并发症及疼痛评分。术后随访0．5～3．0年，统计其复发率及远期疗效。结果：100例纵隔肿瘤患者手术顺利，无中转开胸病例，手术成功率100％。手术时间（75．6±5．2）min；术中出血量（60．10±7．8）ml；术后胸腔引流时间1～4天；术后住院时问3～7天。9例合并重症肌无力者症状无改善，2例合并单纯障碍性贫血患者贫血症状无改善。结论：胸腔镜纵隔肿瘤切除手术，具有微创、安全、减少患者痛苦及缩短术后康复时间等显著优势。