微创医学

目的探讨单操作孔胸腔镜纵隔肿瘤切除术治疗纵隔肿瘤的可行性和安全性。方法根据不同的手术方法将纵隔肿瘤115例患者分为观察组（58例）和对照组（57例）。观察组采用单操作孔胸腔镜纵隔肿瘤切除术，对照组采用常规开胸纵隔肿瘤切除术。比较两组患者手术效果和术后并发症发生率，分析单操作孔胸腔镜纵隔肿瘤切除术用于纵隔肿瘤治疗的可行性和安全性。结果观察组手术时间、术中出血量、切口直径、术后镇痛时间和平均住院时间分别为（121.30±24.21）min、（115.32±10.42）mL、（3.59±0.56）cm、（2.36±0.04）d和（7.64±1.32）d，均明显低于对照组，两组比较，差异具有统计学意义（P＜0.05）。但两组患者平均住院费用比较，差异无统计学意义（P＞0.05）。观察组术后1、3、5、7 d VAS评分均明显低于对照组，观察组术后并发症发生率（8.62%）明显低于对照组（28.07%），两组比较，差异有统计学意义（P＜0.05）。结论单操作孔胸腔镜纵隔肿瘤切除术在纵隔肿瘤的治疗中疗效满意，具有高度的安全性。

ObjectiveTo explore the feasibility and safety of single hole thoracoscopy surgery in the treatment of mediastinal tumors. MethodsA total of 115 patients with mediastinal tumor were divided into observation group (58 cases) and control group (57 cases).The observation group were treated with single hole thoracoscopy mediastinal tumor resection, while the control group were treated with conventional open thoracotomy mediastinal tumor resection. ResultsBoth of the operation time, intraoperative blood loss, incision diameter, postoperative analgesia time and average hospitalization time were obviously less than that of the control group, the difference was statistically significant (P＜0.05). There was no significant difference in the average hospitalization expenses between the two groups (P＞0.05). The scores of VAS 1d, 3d, 5d, 7d after operation in the observation group were significantly lower than those in the control group, the postoperative complication rate of the observation group (8.62%) was significantly lower than control group (28.07%)(P＜0.05). ConclusionThe effect of single hole thoracoscopy mediastinal tumor resection is satisfactory, it had a high degree of safety.