论文部分内容阅读
目的探讨并分析单操作孔胸腔镜在纵隔肿瘤手术中的效果及安全性。方法选取2008年3月至2013年3月间收治的纵隔肿瘤患者100例,随机分为观察组和对照组(各50例)。观察组患者采用单操作孔胸腔镜,对照组患者采用双操作孔胸腔镜进行操作。观察并分析平均住院时间、平均带管时间、手术时间、术中出血量、术后胸腔引流量、术后疼痛感及肺功能等各项指标。结果观察组患者手术时间明显少于对照组,差异有统计学意义(P<0.05)。观察组患者术中出血量、术后疼痛感指标分别为(18.8±4.59)ml和(1.29±0.24)分,对照组患者出血量、术后疼痛感指标为(29.8±5.36)ml和(2.62±0.45)分,差异有统计学意义(P<0.05)。观察组患者手术后肺功能各项指标均高于手术前,差异有统计学意义(P<0.05)。结论单操作孔胸腔镜在纵隔肿瘤手术中具有创伤小、术中出血量少、安全、术后疼痛感轻、术后肺功能恢复快等优势,适合在临床上广泛推广。
Objective To investigate and analyze the effect and safety of single-hole thoracoscope in mediastinal tumor surgery. Methods 100 patients with mediastinal tumor who were treated between March 2008 and March 2013 were randomly divided into observation group and control group (50 cases each). Observation group of patients with single-operation hole thoracoscope, the control group of patients with dual-port thoracoscope operation. Observed and analyzed the average length of hospital stay, the average time with the tube, the operation time, intraoperative blood loss, postoperative chest drainage, postoperative pain and lung function and other indicators. Results The operation time of the observation group was significantly less than that of the control group, the difference was statistically significant (P <0.05). The bleeding volume and postoperative pain index in the observation group were (18.8 ± 4.59) ml and (1.29 ± 0.24) points respectively. The amount of bleeding and postoperative pain index in the control group were (29.8 ± 5.36) ml and (2.62 ± 0.45) points, the difference was statistically significant (P <0.05). The indexes of pulmonary function in observation group were higher than those before operation, the difference was statistically significant (P <0.05). Conclusion Single operation thoracoscopy has the advantages of less trauma, less intraoperative blood loss, less pain, less postoperative pain and quick recovery of postoperative lung function in mediastinal tumor surgery. It is suitable for wide application in clinic.