昆明医科大学学报2017，Vol.38Issue(1)：106-108,3.
胸腔镜手术治疗纵隔肿瘤32例临床疗效观察
Clinical Efficacy of Video-assisted Thoracic Surgery in Treatment of 32 Cases of Mediastinal Tumors
摘要
Abstract
Objective To explore the clinical effect and application value of video-assisted thoracic surgery (VATS) for mediastinal tumor by comparing with traditional thoracotomy.Methods Thirty-two patients with mediastinal tumor were treated by VATS from June,2012 to June,2016 and the clinical data of 50 patients with mediastinal tumor undergoing thoracotomy from January 2003 to June 2012 were retrospectively analyzed.Results VATS group vs Thoracotomy group:There were no conversion thoracotomy,postoperative death,no thoracotomy for hemostasis in VATS group.There were 6 cases of incision infection,8 cases of pulmonary infection,8 cases of pulmonary infection,and no other serious complications in two groups.The incidence of incision infection,pulmonary atelectasis and pulmonary infection rate in VATS group was lower than thoracotomy group (P＜0.05).There were differences in the intraoperation bleeding volume (188.7 ± 28.77 vs 266.4 ± 54.55) mL,postoperative drainage (212.3 ± 28.48 vs 352.44 ± 9.67) mL,drainage time (2.65 ± 0.71 vs 3.64 ± 0.92) d,analgesia time (1.35 ±0.49 vs 2.38 ±0.49) d,hospitalization time (8.74 ±0.89 vs 12.16 ± 1.11) d between two groups,P＜ 0.05.Conclusion VATS in the treatment of mediastinal tumor has obvious advantages compared with traditional thoracotomy surgery,so it has good clinical efficacy and the the value of promotion.关键词
胸腔镜手术/传统开胸手术/纵隔肿瘤Key words
Video-assisted thoracic surgery (VATS)/Traditional thoracotomy/Mediastinal tumor分类
医药卫生引用本文复制引用
代建川,殷世杰,陈锡霖,王瑞,陈锦润,昌继龙..胸腔镜手术治疗纵隔肿瘤32例临床疗效观察[J].昆明医科大学学报,2017,38(1):106-108,3.基金项目
国家自然科学基金资助项目(81560462) （81560462）
