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。%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.
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