胸腔镜手术微创治疗原发性纵隔肿瘤的临床研究(1)
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【摘要】 目的 探讨胸腔镜治疗原发性纵隔肿瘤的疗效及安全性。
方法 将58例纵隔肿瘤患者按手术方式分为两组，胸腔镜组28例在胸腔镜辅助下完成肿瘤切除，开胸组30例采用传统开胸手术切除肿瘤，观察两组的切口长度、手术时间、术中出血量、肿瘤大小，以及疗效、住院时间、使用镇痛药例数、引流时间、住院费用、术后并发症等，并进行对比分析。结果 两组疗效相当，胸腔镜组的切口长度、手术时间、术中出血量明显短于或少于开胸组(P<0.01)，而两组所切除的肿瘤直径比较差异无统计学意义(P>0.05)。胸腔镜组住院时间、引流时间明显少于开胸组(P<0.01)，使用镇痛药的例数也明显少于开胸组(P<0.05)，住院费用略高于开胸组，但差异无统计学意义(P>0.05)。两组的并发症发生率比较差异有统计学意义(P<0.05)，胸腔镜组并发症发生率较低。结论 胸腔镜治疗原发性纵隔肿瘤可以取得与开胸手术一样的疗效，安全性好，创伤小，术中出血少，术后疼痛轻，并发症少，费用与开胸手术相当，容易为患者所接受，是一种比较先进和微创的治疗方法。
【关键词】 纵隔肿瘤；原发性；胸腔镜；微创治疗
文章编号：1003-1383(2011)06-0710-04 中图分类号：R 655.5 文献标识码：A
doi:10.3969/j.issn.1003-1383.2011.06.009
Clinical study of Thoracoscopic surgery for minimally invasivetreatment of primary mediastinal tumor
LU Shuangzheng，HUANG Yuanlu，WEI Kai
(Affiliated Southwest Hospital of Youjiang Medical University for Nationalities，Baise Pelple's Hospital，Baise，Guangxi 533000)
【Abstract】 Objective To investigate the efficacy and the safety of Thoracoscopic surgery for minimally invasive treatment of primary mediastinal tumor.
Methods 58 cases of primary mediastinal tumor were divided into the thoracoseopic group and the thoracotomy group.The thoracoseopic group(n=28) were treated with Thoracoscopic surgery for minimally invasive and the thoracotomy group(n=30) were treated with traditional open chest surgery. Incision length，operation time，intraoperative blood loss， tumor size， efficacy，hospitalization time，cases of using analgesic， drainage time，hospitalization expenses，postoperative complications between the two groups were compared and analyzed.
Results The two groups had the same efficacy. For the thoracoseopic group，the operation time，incision length，intraoperative blood loss,hospitalization time and drainage time were less than those in the thoracotomy group(P<0.01)，but the tumor sizes were not statistically different between the two groups(P>0.05).The thoracoseopic group's cases of using analgesic were also obviously lower than those of the thoracotomy group(P<0.05).Their hospitalization expenses were a little more than the thoracotomy group,but the difference had no statistical significance(P>0.05).The postoperative complication rates were statistically different between these two groups(P<0.05). ......
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