【摘要】 目的探讨电视胸腔镜下纵隔肿瘤切除术治疗纵隔肿瘤的临床效果观察。方法将2016年10月~2017年10月在我院胸外科治疗的80例纵隔肿瘤患者随机分为两组,对照组采用开胸纵隔肿瘤切除术治疗,观察组采用电视胸腔镜下纵隔肿瘤切除术治疗,比较两组患者的各项手术指标、术后并发症发生率、术后各项指标情况。结果观察组术中出血量、术后下床活动时间、引流管留置时间、住院时间与对照组相比明显减少(P<0.05),而两组在手术时间方面无明显差异(P>0.05);观察组术后肺部感染、胸腔粘连、肺不张、心律失常等并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组术后3 d VAS疼痛评分、皮质醇(cortisol,COR)、促肾上腺皮质激素(adrenocorticotropic hormone,ACTH)与对照组相比明显降低,差异有统计学意义(P<0.05)。结论电视胸腔镜下纵隔肿瘤切除术治疗纵隔肿瘤的临床效果显著,术后恢复快,并发症发生率低,术后疼痛轻,安全性高,具有积极的临床意义。更多还原

【Abstract】 Objective To investigate the clinical effect of video-assisted thoracoscopicmediastinal tumor resection for the treatment of mediastinal tumors. Methods 80 patients with mediastinal tumor treated in the Department of Thoracic Surgery of our hospital from October 2016 to October 2017 were randomly divided into two groups. The control group was treated with resection of open mediastinal tumor and the observation group was treated with video-assisted thoracoscopicmediastinal tumor resection. The surgical indexes, the incidence of postoperative complications and postoperative index conditions between the two groups were compared. Results The intraoperative blood loss, postoperative ambulation time, drainage tube indwelling time and length of hospital stay in the observation group were significantly lower than those in the control group(P<0.05). While there was no significant difference in the operation time between the two groups(P>0.05). The incidence of complications such as postoperative pulmonary infection, pleural adhesions, atelectasis,and arrhythmia was significantly lower in the observation group than that in the control group, and the difference was significant(P <0.05). The VAS pain score, COR(cortisol) and ACTH(adrenocorticotropic hormone) in the observation group on the third day after surgery were significantly lower than those of the control group, and the difference was statistically significant(P<0.05). Conclusion Video-assisted thoracoscopicmediastinal tumor resection for mediastinal tumors has significant clinical effects, rapid postoperative recovery, low complication rate, mild postoperative pain and high safety, and has positive clinical significance.更多还原