电视胸腔镜手术与开胸手术治疗纵膈肿瘤的临床疗效比较分析

摘要

目的 探讨采用电视胸腔镜手术治疗纵膈肿瘤患者的临床疗效以及可行性.方法 将2015年1月-2016年1月在本院进行手术治疗的纵膈肿瘤患者90例作为研究对象,按照随机数字表的方法,随机地分为观察组(n=45)和对照组(n=45),观察组患者采取电视胸腔镜手术方法进行治疗,对照组采用标准开胸手术进行治疗.比较2组患者的术中相关指标、术后恢复相关指标、术后并发症发生率.结果 观察组患者的开胸出血量显著低于对照组(P<0.05);观察组患者的开胸时间、关胸时间显著短于对照组(P<0.05);2组患者的总手术时间差异无统计学意义(P>0.05);观察组患者的术后引流量显著少于对照组(P<0.05);观察组术后带管时间和术后住院时间显著短于对照组(P<0.05);观察组术后并发症发生率显著低于对照组(P<0.05).结论 电视胸腔镜手术治疗纵膈肿瘤的临床效果显著,对患者造成的创伤较少,患者恢复较快且并发症较少,值得在临床上推广.%Objective To compare the clinical efficacy of video-assisted thoracoscopic surgery and thoracotomy in the treatment of mediastinal tumors.Methods A total of 90 mediastinal tumor patients with surgical treatment between January 2015 and January 2015 in our hospital were as the research objects,and were randomly divided into observation group (n=45) and the control group (n=45) according to random number table method,the observation group was treated with video-assisted thoracoscopy surgery method,and the control group with a standard open thoracic surgery for treatment.Intraoperative related indicators,postoperative recovery related indicators,and the incidences of postoperative complications were compared.Results Observation group had lower open thoracic blood loss,shorter open and closed chest time than control group (P<0.05).The difference in total operating time of two groups showed no statistical significant difference (P>0.05).The observation group had less postoperative drainage volume,less postoperative catheter time and postoperative hospital stay and lower postoperative complication rate than that in the control group (P<0.05).Conclusion Effect of video-assisted thoracoscopy surgery in the treatment of mediastinal tumor is remarkable,it has fewer traumas,faster recovery and less complications,so it is worth popularizing in clinic.