摘要
目的探讨完全胸腔镜微创手术与传统开胸手术在心脏粘液瘤(CM)中的治疗效果及安全性。方法选取2017年2月至2021年2月间陕西省空军军医大学第一附属医院收治的91例心脏粘液瘤患者进行研究。根据患者手术治疗方式分为A组(采用完全胸腔镜微创手术治疗,48例)和B组(采用传统开胸手术治疗,43例)。比较两组患者的手术相关指标、术后恢复指标和并发症发生率。结果 A组手术切口直径和术中出血量低于B组,体外循环时间高于B组,差异均有统计学意义(均P <0.05)。A组患者ICU入住时间、机械辅助通气时间和疼痛评分均低于B组,差异均有统计学意义(均P <0.05)。A组患者切口愈合不良发生率低于B组,差异有统计学意义(P <0.05)。结论完全胸腔镜微创手术治疗心脏粘液瘤,相对传统开胸手术治疗,可降低手术创伤,缩短术后康复时间,降低术后并发症发生率,具有更高显著疗效和治疗安全性。
Objective To explore the therapeutic effect and safety of minimally invasive thoracoscopic surgery versus traditional thoracotomy for cardiac myxoma( CM). Methods Ninety-one patients with CM were selected at First Affiliated Hospital of Air Force Military Medical University between February 2017 and February 2021. Based on the surgical treatment,they were divided into group A( complete minimally invasive thoracoscopic surgery,48 patients) and group B( traditional open chest surgery,43 patients). Operation-related indicators,postoperative recovery indicators,and the incidence of complications were compared between the two groups. Results The diameter of surgical incision and intraoperative blood loss were lower in group A than in group B,and the duration of extracorporeal circulation was longer in group A than that in group B( all P < 0. 05). The length of ICU stay,duration of mechanical ventilation,and mechanical ventilation score were lower in group A than in group B( all P < 0. 05). The incidence of poor wound healing was lower in group A than that in group B( P < 0. 05). Conclusion Complete minimally invasive thoracoscopic surgery for the treatment of cardiac myxoma can reduce the incidence of surgical trauma,shorten postoperative recovery time,reduce postoperative complications,and has high significant efficacy and treatment safety compared with traditional thoracotomy.
作者
陈亚武
彭岚刚
魏东明
段乐
赵琳
CHEN Ya-wu;PENG Lan-gang;WEI Dong-ming;DUAN Le;ZHAO Lin(Department of Cardiovascular Surgery,First Affiliated Hospital of Air Force Military Medical University,Xi’an 710032,China)
出处
《中国肿瘤临床与康复》
2021年第12期1414-1417,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
心脏粘液瘤
胸腔镜
传统开胸手术
手术疗效
并发症
Cardiac myxoma
Thoracoscopy
Traditional thoracotomy
Surgical outcome
Complications