人工气胸辅助胸腔镜下胸腺切除术29例临床分析

发布时间：2018-06-12 11:27

本文选题：胸腺切除术 + 胸腔镜手术　；参考：《中国肿瘤外科杂志》2016年05期

【摘要】：目的探讨人工气胸辅助单孔或多孔胸腔镜下胸腺切除术的可行性及疗效。方法回顾性分析徐州市中心医院2011年1月至2015年12月行人工气胸辅助胸腔镜下胸腺切除术29例患者的临床资料,并与同期行常规胸腔镜手术的41例患者比较,分析手术时间、术后并发症、胸管引流及术后住院时间的差异。结果人工气胸辅助胸腔镜手术组与常规胸腔镜手术组的手术时间分别是(79.3±20.7)min、(82.6±31.5)min,胸管引流时间分别是(1.5±0.7)d、(1.2±0.9)d,胸管引流量分别是(138.2±26.5)ml、(150.6±38.2)ml,术后住院时间分别是(7.5±2.6)d、(8.2±3.1)d,差异均无统计学意义(P0.05);人工气胸辅助手术的患者术后发生并发症2例次,较常规胸腔镜手术组的12例次显著减少(P0.05);合并肌无力的患者术后症状得到有效控制。结论人工气胸辅助胸腔镜下胸腺切除术是可行有效的,同时可减少术后并发症。
[Abstract]:Objective to investigate the feasibility and efficacy of single hole or porous thoracoscopic thymectomy with artificial pneumothorax. Methods the clinical data of 29 patients undergoing assisted thoracoscopic thymectomy in Xuzhou Central Hospital from January 2011 to December 2015 were retrospectively analyzed, and compared with 41 patients undergoing conventional thoracoscopic surgery at the same time. The operative time was analyzed. Postoperative complications, chest tube drainage and postoperative hospital stay were different. Results the operative time was 79.3 卤20.7min (82.6 卤31.5 min), the drainage time was 1.5 卤0.7d (1.2 卤0.9d), the drainage volume was 138.2 卤26.5ml (150.6 卤38.2ml), and the postoperative hospitalization time was 7.5 卤2.6d (8.2 卤3.1d), respectively, in the artificial pneumothorax assisted thoracoscopic surgery group and the conventional thoracoscopic surgery group. Complications occurred in 2 patients with artificial pneumothorax. The postoperative symptoms of patients with myasthenia were effectively controlled. Conclusion artificial pneumothorax assisted thoracoscopic thymectomy is effective and can reduce postoperative complications.
【作者单位】：东南大学附属徐州市中心医院胸外科;
【基金】：江苏省恶性肿瘤分子生物学及转化医学重点实验室专项基金(BM2013007)
【分类号】：R655.7

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