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无管化单孔胸腔镜手术治疗纵隔肿瘤的临床应用
作者: 李军 许凝 孔庆龙 高岩 常旭 
单位:大连市中心医院胸外科 辽宁 大连 116011 
关键词:无管化 单孔胸腔镜手术 纵隔肿瘤 
分类号:R 615
出版年,卷(期):页码:2021,38(6):623-624
摘要:

 摘要:目的 比较无管化单孔胸腔镜与单操作孔胸腔镜手术治疗纵隔肿瘤的疗效。方法 回顾分析我科采用胸腔镜手术治疗的纵隔肿瘤患者50例,将采用无管化单孔胸腔镜治疗的25例患者作为研究组,采用单操作孔胸腔镜治疗的25例患者作为对照组,比较两组术中及术后情况。结果 两组患者均顺利完成手术,无大出血及中转开胸,术后未出现肺不张、肺内感染病例;两组在手术时间、术中出血量、平均住院时间方面比较差异无统计学意义(均P>0.05);研究组在术后咽痛及咽部不适、术后切口疼痛、引流管留置时间、导尿管刺激症状方面的情况明显优于对照组,组间比较差异均有统计学意义(均P<0.05)。结论 无管化单孔胸腔镜手术治疗纵隔肿瘤安全可行,能进一步减少手术创伤,加速患者康复。

 Abstract:Objective To compare the therapeutic effect of the tubeless single-port and single utility port thoracoscopy for mediastinal tumor. Methods    50 cases of mediastinal tumors were treated by thoracoscopy in our department were retrospective analyzed, 25 cases with tubeless single-port thoracoscopy as study group, and 25 cases with single utility port thoracoscopy as control group. The occurrence of complications intraoperative and postoperative in the two groups were compared. Results All patients in two groups were completed the operation without major bleeding and converted to thoracotomy. There were no cases of atelectasis and intrapulmonary infection after the operation; there was no statistically significant difference between the two groups in terms of operation time, intraoperative blood loss, and average length of stay(all P>0.05); postoperative sore throat and pharyngeal discomfort, postoperative incision pain, drainage tube indwelling time, and urinary catheter irritation symptoms in the study group were significantly better than those in the control group, and the differences between the groups were statistically significance(all P<0.05). Conclusion It is safe and feasible to treat mediastinal tumor with tubeless single-port thoracoscopy, which can further reduce the surgical trauma and accelerate the recovery of patients.

基金项目:
作者简介:
参考文献:
参考文献
[1] Liu CY,Hsu PK,Chien HC,et al. Tubeless single-port thoracoscopic sublobar resection:indication and safety[J]. Thorac Dis,2018,10(6):3729-3737.
[2] Nakano T,Endo S. Managenment for life-threatening mediastinal tumor
[J]. KyobuGeka,2015,68(8):695-700.
[3] Koyama S,Fujiwara K,Nosaka K,et al. Immunohistochemical features
of primary pure squamous cell carcinoma in the thyroid:an autopsy case
[J]. Case Rep Oncol,2018,11(2):418-424.
[4] Tian Y,Gawlak GO,Donnell JJ. Modulation of endothelial inflammation
by low and high magnitude cyclic stretch[J]. PLos One,2016,11(4):
e0153387.
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