剑突下单孔胸腔镜与三孔胸腔镜前纵隔肿瘤切除的临床疗效对比

发布时间：2019-04-25 14:47

【摘要】：目的比较剑突下单孔胸腔镜与三孔胸腔镜前纵隔肿瘤切除的临床效果。方法回顾性分析胸接受前纵隔肿瘤切除术的89例患者的资料。根据手术方式不同分为单孔胸腔镜手术组(A组,n=52)和3孔胸腔镜手术组(B组,n=37)。对两组患者术中临床指标,术后疼痛情况,生活质量以及并发症发生情况进行评估。结果 A组患者术中出血量以及镇痛次数均显著少于B组(P0.05),术后引流时间、住院时间均显著短于B组(P0.05)。术后12 h及24 h,B组患者VAS评分、Prince-Henry评分均显著高于A组(P0.05)。A组患者角色功能、认知功能、社会功能、躯体功能、情绪功能和整体生活质量评分均显著高于B组(P0.05)。A组患者各类并发症总发生率显著低于B组(χ2=10.250,P0.05)。结论剑突下单孔胸腔镜可显著缩短手术时间,促进患者术后恢复,降低各类并发症发生率。
[Abstract]:Objective to compare the clinical results of anterior mediastinal tumor resection by single-hole thoracoscopy and three-hole thoracoscopy under the fencing process. Methods the data of 89 patients undergoing anterior mediastinal tumor resection were retrospectively analyzed. The patients were divided into two groups according to different surgical methods: group A (n = 52) and group B (n = 37). The clinical parameters, postoperative pain, quality of life and complications were evaluated in the two groups. Results the amount of bleeding and the times of analgesia in group A were significantly less than those in group B (P0.05). The postoperative drainage time and hospitalization time were significantly shorter in group A than those in group B (P0.05). At 12 h and 24 h after operation, the scores of VAS and Prince-Henry in group B were significantly higher than those in group A (P0.05) in). A group, including role function, cognitive function, social function and physical function. The scores of emotional function and overall quality of life in group B were significantly higher than those in group B (P0.05). The total incidence of complications in group). A was significantly lower than that in group B (蠂 2, 10.250, P0.05). Conclusion single-hole thoracoscopic surgery under the sagittal process can significantly shorten the operation time, promote postoperative recovery and reduce the incidence of all kinds of complications.
【作者单位】：滨州市人民医院普胸外科;
【分类号】：R734.5

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