摘要
目的探讨胸腔镜微创切除术与传统开胸切除术治疗纵膈肿瘤的临床疗效。方法选取2020年1月至2022年7月抚州市第一人民医院收治的70例纵膈肿瘤患者作为研究对象,按照手术方案不同分为对照组与观察组,每组35例。对照组采用传统开胸切除术,观察组采用胸腔镜微创切除术,比较两组手术指标、术后恢复情况、并发症发生情况、临床病情控制优良率及术后不同时间疼痛程度。结果观察组手术时间、胸管留置持续时间、术毕应用止痛剂持续时间、术后胃肠功能恢复时间、住院时间均短于对照组,术中失血量、术后引流量均少于对照组,差异有统计学意义(P<0.05)。治疗1周后,观察组并发症发生率为2.86%,低于对照组的22.85%,差异有统计学意义(P<0.05)。治疗1周后,观察组临床病情控制优良率为97.14%,高于对照组的77.15%,差异有统计学意义(P<0.05)。术后12、24、36、48、60、72h,观察组视觉模拟评分法(visual analogue scale,VAS)评分均低于对照组,差异有统计学意义(P<0.05)。结论胸腔镜微创切除术治疗纵膈肿瘤患者疗效显著,可缩短手术时间、住院时间、胸管留置持续时间、术毕应用止痛剂持续时间,减少并发症发生和术中失血量,减轻患者术后疼痛程度,值得临床推广应用。
Objective To investigate the clinical efficacy of thoracoscopic minimally invasive resection and traditional thoracotomy in the treat-ment of mediastinal tumors.Methods A total of 70 patients with mediastinal tumor admitted to the First People's Hospital of Fuzhou from January 2020 to July 2022 were selected as the research subjects,and they were divided into the control group and the observation group according to different surgical plans,with 35 cases in each group.The control group was treated with traditional thoracotomy,and the observation group was treated with thoracoscopic minimally invasive resection,the surgical indicators,the postoperative recovery status,the incidence of complications,the excellent and good rate of clinical disease control and the degree of pain at different times after surgery were compared between the two groups.Results The opera-tion time,thoracic tube indentation duration,analgesic application duration,postoperative gastrointestinal function recovery time and hospitalization time in the observation group were shorter than those in the control group,and the intraoperative blood loss and postoperative drainage volume were less than those in the control group,and the differences were statistically significant(P<0.05).After 1 week of treatment,the incidence of complica-tions in the observation group was 2.86%,which was lower than 22.85%in the control group,and the difference was statistically significant(P<0.05).After 1 week of treatment,the excellent and good rate of clinical disease control in the observation group was 97.14%,which was higher than 77.15%in the control group,and the difference was statistically significant(P<0.05).At 12,24,36,48,60 and 72 h after operation,the visual ana-logue scale(VAS)scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Thoracoscopic minimally invasive resection is effective in the treatment of mediastinal tumors,which can shorten the operation time,hospital
作者
娄强
LOU Qiang(Department of Thoracic Surgery,First People's Hospital of Fuzhou,Fuzhou,Jiangxi,344000,China)
出处
《当代医学》
2024年第16期26-29,共4页
Contemporary Medicine
基金
抚州市指导性科技计划项目(抚科计字【2021】7号序号21)。
关键词
胸腔镜
微创
开胸
纵膈肿瘤
临床疗效
Thoracoscope
Minimally invasive
Open chest
Mediastinal tumor
Clinical efficacy
