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目的探讨微创胸腔镜切除术在治疗纵隔肿瘤中的临床效果。方法选取2009年9月至2013年9月间收治的72例纵隔肿瘤患者,根据手术方式不同分为观察组和对照组,对照组患者采用传统开胸手术治疗,观察组患者采用微创胸腔镜治疗,比较两组患者术中及术后各项指标。结果对照组患者切口长度(11.1±5.6)cm、出血量(697.9±203.7)ml、手术时间(267.5±41.4)min、住院时间(10.7±3.5)d、引流管放置时间(3.8±1.9)d和切口疼痛评分(7.5±2.4)分,观察组患者切口长度(7.1±2.3)cm、出血量(368.6±183.5)ml、手术时间(179.6±33.1)min、住院时间(7.01±2.6)d、引流管放置时间(2.6±1.5)d和切口疼痛评分(4.1±1.3)分,两组差异均有统计学意义(均P<0.05)。观察组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论微创胸腔镜切除术具有手术切口小、出血量少、恢复时间短、疼痛感轻、并发症少等优点,值得推广。
Objective To investigate the clinical effect of minimally invasive thoracoscopic resection in the treatment of mediastinal tumors. Methods Seventy-two patients with mediastinal tumor who were treated between September 2009 and September 2013 were divided into observation group and control group according to different operation methods. Patients in control group were treated by conventional thoracotomy, while those in observation group were treated by minimally invasive thoracoscopic Treatment, compared the two groups of patients during and after the various indicators. Results The length of incision (11.1 ± 5.6) cm, blood loss (697.9 ± 203.7) ml, operation time (267.5 ± 41.4) min, hospitalization time (10.7 ± 3.5) d and drainage tube placement time were 3.8 ± 1.9 days (7.1 ± 2.3) cm, blood loss (368.6 ± 183.5) ml, operation time (179.6 ± 33.1) min, length of hospital stay (7.01 ± 2.6) d and hospitalization time Drainage tube placement time (2.6 ± 1.5) d and incision pain score (4.1 ± 1.3) points, the difference between the two groups were statistically significant (P <0.05). The incidence of complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion Minimally invasive thoracoscopic resection has the advantages of small incision, less bleeding, shorter recovery time, less pain and less complications, which is worthy of popularization.