摘要
目的探讨电视胸腔镜手术与传统开胸手术在纵膈肿瘤治疗中的疗效。方法选取92例纵膈肿瘤患者为研究对象,将采用常规开胸手术的40例患者纳入对照组,采用电视辅助胸腔镜手术的52例患者纳入观察组。观察2组患者手术时间、切口长度、术中出血量、术后引流时间、术后引流量、住院之间和住院费用的临床指标。对比2组患者的临床疗效和并发症的发生率。随访1年,观察2组患者的复发情况。结果观察组患者手术时间、切口长度、术中出血量、引流时间、术后引流量、住院时间均低于对照组,P<0.05。2组患者住院费用差异无统计学意义,P>0.05。观察组患者的治愈率高于对照组,P<0.05。观察组患者的并发症发生率小于对照组,P<0.05。2组患者的1、2、3年生存率和复发率差异无统计学意义,P>0.05。结论电视辅助胸腔镜手术治疗纵膈肿瘤疗效显著,创伤小,并发症少,安全可靠,可作为大多数纵膈肿瘤首选的治疗方法。
Objective To investigate the efficacy of video assisted thoracic surgery for mediastinal tumors. Methods 92 patients with mediastinal tumor were the research objects. 40 patients with conventional thoracotomy were included in the control group,and 52 patients with video assisted thoracic surgery were included in the observation group. Operation time,incision length,bleeding volume,postoperative drainage time,postoperative drainage,hospitalization and hospitalization expenses of the 2 groups were observed. Clinical efficacy and complications between the 2 groups were compared. Follow up was 1 year,the recurrence of the 2 groups were observed. Results The operation time,incision length,bleeding volume,drainage time,drainage time,postoperative drainage,hospitalization time in the observation group were lower than those of the control group,P〈0. 05. There had no significant difference in hospitalization expenses between the 2 groups,P〉0. 05. The cure rate of the observation group was higher than that of the control group,P〈0. 05. The incidence of complications in the observation group was less than that of the control group,P〈0. 05. There had no significant difference in 1-,2-,3-years survival rates and recurrence rates between the 2 groups,P〉0. 05. Conclusion Video assisted thoracic surgery for mediastinal tumor has obvious curative effects,less trauma and less complications,it is safe and reliable,and can be used as the preferred treatment for most patients with mediastinal tumors.
出处
《实用癌症杂志》
2016年第7期1187-1190,共4页
The Practical Journal of Cancer
关键词
电视辅助胸腔镜手术
开胸手术
纵膈肿瘤
疗效
Video-assisted thoracoscopic surgery
Undergoing thoracic surgery
Mediastinal tumors
Efficacy
