[1]张 磊.电视胸腔镜手术与传统手术治疗胸腺瘤的疗效比较[J].医学信息,2019,32(24):90-91.[doi:10.3969/j.issn.1006-1959.2019.24.029]
　ZHANG Lei.Comparison of Curative Effect Between Video-assisted Thoracoscopy and Traditional Surgery for Thymoma[J].Medical Information,2019,32(24):90-91.[doi:10.3969/j.issn.1006-1959.2019.24.029]
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电视胸腔镜手术与传统手术治疗胸腺瘤的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年24期
页码:
90-91
栏目:
临床研究
出版日期:
2019-12-15

文章信息/Info

Title:
Comparison of Curative Effect Between Video-assisted Thoracoscopy and Traditional Surgery for Thymoma
文章编号:
1006-1959（2019）24-0090-02
作者:
张 磊
（宜春市人民医院普外科，江西 宜春 336000）
Author(s):
ZHANG Lei
(General Surgery,Yichun People’s Hospital,Yichun 336000,Jiangxi,China)
关键词:
视胸腔镜; 传统手术; 胸腺瘤
Keywords:
Video-assisted thoracoscopy; Traditional surgery; Thymoma
分类号:
R736.3
DOI:
10.3969/j.issn.1006-1959.2019.24.029
文献标志码:
A
摘要:
目的 观察电视胸腔镜手术与传统手术治疗胸腺瘤的临床疗效。方法 选取2017年12月~2019年6月在我院治疗的84例胸腺瘤患者，随机分为对照组和观察组，各42例。对照组采用传统手术治疗，观察组采用电视胸腔镜手术治疗，比较两组临床治疗手术指标、治疗前后肺功能指标以及并发症发生情况。结果 观察组术中出血量、手术时间、下床活动时间、切口长度、术后引流量均低于对照组（P＜0.05）；两组FEV1、FVC与疲劳指数均低于治疗前，且对照组FEV1、FVC低于观察组，对照组疲劳指数高于观察组（P＜0.05）；观察组并发症发生率（4.76%）低于对照组（16.67%）（P＜0.05）。结论 电视胸腔镜手术治疗胸腺瘤疗效良好，且手术时间短、术中出血量少，下床时间早，术后引流量少，利于患者术后康复，且术后并发症发生率低，对肺功能影响小，较传统手术治疗效果比较明显，值得临床应用。
Abstract:
Objective To observe the clinical efficacy of video-assisted thoracoscopy and traditional surgery in the treatment of thymoma. Methods A total of 84 patients with thymoma treated in our hospital from December 2017 to June 2019 were randomly divided into the control group and the observation group, with 42 cases each. The control group was treated with traditional surgery, and the observation group was treated with video-assisted thoracoscopy. The clinical indicators of surgical treatment, pulmonary function indicators before and after treatment, and complications were compared between the two groups. Results In the observation group, the intraoperative blood loss, operation time, time to get out of bed, incision length, and postoperative drainage volume were lower than those in the control group(P<0.05); FEV1, FVC, and fatigue index were lower in both groups. Before treatment, the control group had lower FEV1 and FVC than the observation group, and the fatigue index in the control group was higher than that in the observation group(P<0.05); the incidence of complications in the observation group (4.76%) was lower than that in the control group (16.67 %) (P<0.05).Conclusion Video-assisted thoracoscopy is effective in the treatment of thymoma, with short operation time, less intraoperative blood loss, early bed time, and low postoperative drainage, which is conducive to patients’ postoperative recovery. The functional impact is small, and the effect is obvious compared with traditional surgical treatment, which is worth clinical application.

参考文献/References:

[1]赵辉,施巩宁,梁冰,等.电视胸腔镜手术治疗胸腺瘤31例临床体会[J].中国实用医药,2015,10(24):87-88.[2]李富,李标.胸腔镜与开胸手术治疗重症肌无力合并胸腺瘤疗效对比分析[J].河北医药,2014,3(20):3088-3089.[3]任自学,王圣应,张荣新.电视胸腔镜手术与传统手术治疗胸腺瘤疗效比较[J].新乡医学院学报,2014(7):321-323.[4]唐勇,徐恩五,廖明,等.电视胸腔镜手术与胸骨劈开扩大胸腺切除术治疗重症肌无力的临床对比研究[J].中国微创外科杂志,2014,14(12):1077-1080.

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更新日期/Last Update: 2019-12-15