Application of thoracoscopic surgery for mediastinal tumor with subxiphoid and bilateral costal arches approach

WANG Hong; ZENG Xiaofei; JIA Weikun; MA Ruidong; WU Zhiqiang; HE Dongsheng; HE Xiaoping; LU Yuhai

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Application of thoracoscopic surgery for mediastinal tumor with subxiphoid and bilateral costal arches approach

更新时间：2022-06-24

- Application of thoracoscopic surgery for mediastinal tumor with subxiphoid and bilateral costal arches approach
- null Issue 9, Pages: 730(2020)
- 作者机构：
  
  成都医学院第一附属医院胸心外科,四川,成都,610500
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WANG Hong, ZENG Xiaofei, JIA Weikun, et al. Application of thoracoscopic surgery for mediastinal tumor with subxiphoid and bilateral costal arches approach. [J]. null (9):730(2020)
DOI：

WANG Hong, ZENG Xiaofei, JIA Weikun, et al. Application of thoracoscopic surgery for mediastinal tumor with subxiphoid and bilateral costal arches approach. [J]. null (9):730(2020) DOI：

摘要

目的探讨胸腔镜经剑突下及双侧肋弓下行纵隔肿瘤切除术的临床价值。方法回顾性分析我院2017年1月至2019年12月收治的98例纵隔肿瘤患者的临床资料，根据手术入路分为观察组50例（剑突下及双侧肋弓下入路）和对照组48例（侧胸壁入路）。比较2组患者的手术时间、术中失血量、引流管留置时间、住院时间等情况。比较2组患者术前及术后3 d疼痛程度，血清P物质（SP）、五羟色胺（5-HT）、去甲肾上腺素（NE）等疼痛介质水平，血清白细胞介素-6（IL-6）、超敏C反应蛋白（hs-CRP）、肿瘤坏死因子-α（TNF-α）等炎症因子水平及术后并发症发生率情况。结果观察组患者手术时间、术中失血量、引流管留置时间、住院时间短/少于对照组，差异有统计学意义（P＜0.05）。2组患者术前VAS评分及SP、5-HT、NE、IL-6、hs-CRP、TNF-α水平比较，差异无统计学意义（P>0.05）；术后3 d，观察组患者VAS评分、SP、5-HT、NE、IL-6、hs-CRP、TNF-α水平及术后并发症发生率均低于对照组，差异有统计学意义（P＜0.05）。结论胸腔镜经剑突下及双侧肋弓下纵隔肿瘤切除术具有创伤小、恢复快、安全等优势，可减少术后炎症因子及疼痛介质分泌，缓解患者术后疼痛，且术后并发症发生率低。

Abstract

关键词

胸腔镜剑突双侧肋弓纵隔肿瘤疼痛介质炎症因子

Keywords

thoracoscopexiphoidbilateral costal archesmediastinal tumorpain mediatorsinflammatory factors

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