目的 探究微创胸腔镜下纵隔肿瘤切除术的临床疗效,评价微创胸腔镜下纵隔肿瘤切除术的临床效果.方法 选取在我院胸外科收治的60例纵隔肿瘤患者作为研究对象,将所有患者随机分成对照组和实验组,实验组患者采用微创胸腔镜纵隔肿瘤切除术,对照组患者采用传统的开胸纵隔肿瘤切除术.结果 实验组患者引流管留置时间、下床时间、住院时间、术中出血量手术情况均优于对照组,差异有统计学意义(P＜0.05);对照组患者中切口感染5例、重症肌无力3例、肺不张1例,并发症发生率为30.00％,实验组患者中切口感染2例,并发症发生率为6.67％,实验组术后并发症发生率明显低于对照组,差异有统计学意义(P＜0.05).结论 微创胸腔镜下纵隔肿瘤切除术可以减少患者住院时间、术后并发症少,值得在临床上广泛推广.%Objective To explore the clinical efficacy of minimally invasive thoracoscopic resection of mediastinal tumors and to evaluate the clinical effects of minimally invasive thoracoscopic mediastinal resection. Methods A total of 60 patients with mediastinal neoplasm who were treated in our department of Thoracic Surgery were selected.All patients were randomly divided into control group and experimental group. Minimally invasive thoracoscopic resection was performed in the experimental group. The patients in the control group were treated with conventional open-thorax mediastinal tumor resection. Results The drainage tube indwelling time, bed-out time, length of hospital stay and intraoperative blood loss were all better in the experimental group than in the control group. The difference was statistically significant (P＜0.05). In the control group, there were 5 cases of incision infection, 3 cases of myasthenia gravis, and 1 case of pulmonary atelectasis. The complication rate was 30.00％. In the experimental group, 2 cases had wound infection and the complication rate was 6.67％; The incidence of complications was significantly lower than that of the control group, and the difference was statistically significant (P＜ 0.05). Conclusion Minimally invasive thoracoscopic mediastinal resection can reduce the length of hospital stay and postoperative complications. It is worthy of widespread promotion in clinic.
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