人工气胸下胸腔镜在胸腺瘤切除术中的应用
|
摘要
选取2015年1月至2017年12月我院胸外科胸腺瘤患者60例,随机分为人工气胸组(n=30,人工气胸下胸腔镜手术)、对照组(n=30,常规胸腔镜手术)。比较2组的手术时间、术中出血量、术后带管时间、术后住院时间、术后第1、3、7天VAS评分及术后并发症等指标。结果显示,人工气胸组手术时间及术中出血量明显少于对照组(均P <0.05),而术后带管时间、术后住院时间、术后并发症与对照组比较无统计学差异(均P> 0.05);人工气胸组术后第1、3天VAS评分小于对照组(均P <0.05),而术后第7天与对照组比较无统计学差异(P> 0.05)。因此认为人工气胸下胸腔镜手术切除胸腺瘤安全有效,值得临床推广应用。
引文
[1]JAMILLOUX Y,FRIH H,BERNARD C,et al.Thymoma and autoimmune diseases[J].Revue De Med Int,2018,39(1):17-26.DOI:10.1016/j.revmed.2017.03.003.
[2]WEISSFERDT A,MORAN CA.Staging of thymic epithelial neolplasms:thymoma and thymic carcinoma[J].Pathol Res Pract,2015,211(1):2-11.DOI:10.1016/j.prp.2014.06.007.
[3]VOULAZ E,VERONESI G,INFANTE M,et al.Radical thymectomy versus conservative thymomectomy in the surgical treatment of thymic malignancies[J].J Thorac Dis,2018,10(7):4127-4136.DOI:10.21037/jtd.2018.06.04.
[4]车国卫,刘伦旭.单孔电视胸腔镜手术临床应用的现状与进展[J].中国胸心血管外科临床杂志,2012,19(2):181.
[5]WHITSON BA,ANDRADE RS,MITIEK MO,et al.Thoracoscopic thymectomy:technical pearls to a 21st century approach[J].J Thorac Dis,2013,5(2):129-134.DOI:10.3978/j.issn.2072-1439.2013.03.05.
[6]AYDIN Y,ULAS AB,MUTLU V,et al.Thymectomy in myasthenia gravis[J].Eur J Med,2017,49(1):48-52.DOI:10.5152/eurasianjmed.2017.17009.
[7]LIU Z,YANG R,SHAO F.Comparison of postoperative pain and recovery between single-port and two-port thoracoscopic lobectomy for lung cancer[J].Thorac Cardiovasc Surg,2019,67(2):142-146.DOI:10.1055/s-0038-1666835.
[8]TRAVIS WD,BRAMBILLA E,BURKE AP,et al.WHO classification of tumours of the lung,pleura,thymus and heart[M].Lyon:Iarc Press,2015:183-299.
[9]ROTH JV.Complication of one-lung ventilation:is it the blood flow or the ventilation?[J].Anesthesiology,2016,125(6):1253-1254.DOI:10.1097/ALN.0000000000001349.
[10]ISHIKAWA Y,TATAYAMA H,YOSHIDA M,et al.Micronodular thymoma with lymphoid stroma:an immunohistochemical study of the distribution of Langerhans cells and mature dendritic cells in six patients[J].Histopathology,2015,66(2):300-307.DOI:10.1111/his.12428.
[11]GUO K,TONG LP,LI XF,et al.Video-assisted thoracoscopic completion thymectomy based on mediastinal pleura guidance[J].JThorac Dis,2017,9(5):1382-1385.DOI:10.21037/jtd.2017.04.53.
[12]LIN M,SHEN Y,WANG H,et al.A comparison between two lung ventilation with CO2 artificial pneumothorax and one lung ventilation during thoracic phase of minimally invasive esophagectomy[J].J Thorac Dis,2018,10(3):1912-1918.DOI:10.21037/jtd.2018.01.150.
[2]WEISSFERDT A,MORAN CA.Staging of thymic epithelial neolplasms:thymoma and thymic carcinoma[J].Pathol Res Pract,2015,211(1):2-11.DOI:10.1016/j.prp.2014.06.007.
[3]VOULAZ E,VERONESI G,INFANTE M,et al.Radical thymectomy versus conservative thymomectomy in the surgical treatment of thymic malignancies[J].J Thorac Dis,2018,10(7):4127-4136.DOI:10.21037/jtd.2018.06.04.
[4]车国卫,刘伦旭.单孔电视胸腔镜手术临床应用的现状与进展[J].中国胸心血管外科临床杂志,2012,19(2):181.
[5]WHITSON BA,ANDRADE RS,MITIEK MO,et al.Thoracoscopic thymectomy:technical pearls to a 21st century approach[J].J Thorac Dis,2013,5(2):129-134.DOI:10.3978/j.issn.2072-1439.2013.03.05.
[6]AYDIN Y,ULAS AB,MUTLU V,et al.Thymectomy in myasthenia gravis[J].Eur J Med,2017,49(1):48-52.DOI:10.5152/eurasianjmed.2017.17009.
[7]LIU Z,YANG R,SHAO F.Comparison of postoperative pain and recovery between single-port and two-port thoracoscopic lobectomy for lung cancer[J].Thorac Cardiovasc Surg,2019,67(2):142-146.DOI:10.1055/s-0038-1666835.
[8]TRAVIS WD,BRAMBILLA E,BURKE AP,et al.WHO classification of tumours of the lung,pleura,thymus and heart[M].Lyon:Iarc Press,2015:183-299.
[9]ROTH JV.Complication of one-lung ventilation:is it the blood flow or the ventilation?[J].Anesthesiology,2016,125(6):1253-1254.DOI:10.1097/ALN.0000000000001349.
[10]ISHIKAWA Y,TATAYAMA H,YOSHIDA M,et al.Micronodular thymoma with lymphoid stroma:an immunohistochemical study of the distribution of Langerhans cells and mature dendritic cells in six patients[J].Histopathology,2015,66(2):300-307.DOI:10.1111/his.12428.
[11]GUO K,TONG LP,LI XF,et al.Video-assisted thoracoscopic completion thymectomy based on mediastinal pleura guidance[J].JThorac Dis,2017,9(5):1382-1385.DOI:10.21037/jtd.2017.04.53.
[12]LIN M,SHEN Y,WANG H,et al.A comparison between two lung ventilation with CO2 artificial pneumothorax and one lung ventilation during thoracic phase of minimally invasive esophagectomy[J].J Thorac Dis,2018,10(3):1912-1918.DOI:10.21037/jtd.2018.01.150.