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目的:探讨全电视胸腔镜手术治疗纵隔肿瘤的临床疗效。方法:保山市人民医院2010年9月-2014年7月,共完成33例纵隔肿瘤手术。均在电视胸腔镜下行纵膈肿瘤切除手术,观察手术治疗效果。结果:33例患者均顺利完成手术,无中转开胸,无辅助小切口。随访5~46个月无复发病例,5例术前合并重症肌无力的胸腺瘤患者术后继续服用溴吡啶斯的明后症状明显改善,并逐渐停药。结论:胸腔镜手术治疗纵膈肿瘤具有不增加手术费用、创伤小、恢复快、术后并发症少及安全性大的特点,较传统的开胸手术具有明显优势。
Objective: To investigate the clinical effect of total video-assisted thoracoscopic surgery for mediastinal tumors. Methods: Baoshan People’s Hospital from September 2010 to July 2014, a total of 33 cases of mediastinal tumor surgery. All underwent video-assisted thoracoscopic resection of the mediastinum tumor to observe the effect of surgical treatment. Results: Thirty-three patients successfully completed the operation without thrombolysis and without auxiliary small incision. All cases were followed up for 5 to 46 months without recurrence. Five patients with thymoma who had preoperative myasthenia gravis continued to take bromopyridine after the operation, and their symptoms were significantly improved. Conclusion: Video-assisted thoracoscopic surgery for mediastinal tumors has the advantages of less cost, less trauma, faster recovery, fewer postoperative complications and greater safety. Compared with traditional thoracotomy, thoracoscopic surgery has obvious advantages.