【摘要】 目的分析电视胸腔镜技术和传统手术方案行纵隔肿瘤切除术的临床疗效。方法选择2016年3月-2019年3月新疆生产建设兵团第六师医院,山西省肿瘤医院收治的纵隔肿瘤患者58例进行回顾性分析,选择做电视胸腔镜技术治疗的29例患者为观察组,做传统开胸手术治疗的29例患者为对照组。通过比较两组患者临床指标、应激指标、并发症、优良率来判断临床治疗效果。结果观察组开胸出血量、开胸时间、术后引流量、术中出血量、总住院时间均低于对照组,差异有统计学意义(P <0.05);术后,观察组患者COR、ACTH水平均低于对照组(P <0.05);观察组并发率低于对照组(P <0.05);观察组优良率高于对照组,差异有统计学意义(P <0.05)。结论与传统手术方案比较,电视胸腔镜技术治疗纵隔肿瘤患者效果更显著,更有效减少开胸出血量、开胸时间、术后引流量、术中出血量及总住院时间,改善患者COR、ACTH水平更佳,且安全性更高。更多还原

【Abstract】 Objective To compare the clinical efficacy between video-assisted thoracoscopy and traditional thoracotomy for mediastinal tumor resection. Methods A total of 58 patients with mediastinal tumors admitted to Shanxi tumor hospital in Xinjiang from March 2017 to March 2019 were retrospectively analyzed. The observation group(n=29)underwent video-assisted thoracoscopy, and the control group(n=29)underwent traditional thoracotomy. Then the clinical efficacy was determined through the comparison of clinical indicators, stress indicators, and complications of the two groups. Results The total effective rate of the observation group was higher than that of the control group(P < 0.05). The blood loss of thoracotomy, time of thoracotomy, postoperative drainage volume, intraoperative blood loss and total hospital stay in the observation group were all lower than that of the control group(P < 0.05). After surgery, COR and ACTH levels in the observation group were lower than that of the control group(P < 0.05). The complication rate in the observation group was lower than that of the control group(P < 0.05). The excellent rate of the observation group was higher than that of the control group(P <0.05). Conclusion Compared with traditional surgical methods, application of video-assisted thoracoscopy for patients with mediastinal tumor has better clinical efficacy and safety, which can effectively reduce the amount of thoracotomy bleeding, time of thoracotomy,postoperative drainage volume, intraoperative blood loss and total hospital stay, as well as improve patients’ COR and ACTH levels.更多还原