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胸腔镜与开胸手术治疗肺硬化性血管瘤的效果比较
作者:蒋红军  
单位:东南大学附属第二医院
关键词:肺肿瘤  硬化性血管瘤 胸腔镜 手术治疗 
分类号:R734.2
出版年·卷·期(页码):2016·44·第二期(215-217)
摘要:

目的 总结胸腔镜手术和开胸手术治疗肺硬化性血管瘤的临床经验。方法 回顾性分析肺硬化性血管瘤手术后病理确认为肺硬化性血管瘤病例,基于手术径路,分为胸腔镜手术组及开胸手术治疗组,比较两者临床资料的差异。结果 胸腔镜手术组切口长度(6.¹cm±0.8cm),手术时间(85.³min±²4.³min),术后住院时间(9.0 d±³.7 d)均短于开胸组(¹¹.5 cm±¹.² cm,¹¹³.³ min±²³.6 min, ¹².6 d±¹0.6 d),P<0.05;,差异有统计学意义(P<0.05);胸腔镜组术中出血量(88.0ml±³³.4ml)少于开胸组(¹58.³ ml±4¹.7 ml),差异有统计学意义(P<0.05)。两组肺部肿块大小无明显差异。所有患者随访期间均无术后复发及转移。结论 手术切除是PSH唯一有效的治疗方法,其手术治疗首选胸腔镜手术。

Clinicâl ðxpðriðncð ºf Pulmºnârý Sclðrºsing Hðmângiºmâ Þrðâþmðnþ bý Þwº Surgicâl Mðþhºds JIANG Hºng-jun¹, Zhâng Wâng-Shân¹, Huâng Guº-jing¹ Chðn Hºng-bº¹ Xið Pðng¹ Li Zhi² , LIU Ðu-xiân¹ ¹, Ððpârþmðnþ ºf Cârdiºþhºrâcic Surgðrý, þhð Sðcºnd âffiliâþðd hºspiþâl ºf Sºuþhðâsþ Univðrsiþý, Nânjing ²¹000³,Chinâ; ², Ððpârþmðnþ ºf Cârdiºþhºrâcic Surgðrý, þhð Firsþ âffiliâþðd Hºspiþâl ºf Nânjing Mðdicâl Univðrsiþý,Nânjing, ²¹00²9. Cºrrðspºnding âuþhºr: Jiâng Hºng-jun E-mâil:Ðrhj_jiâng@¹6³.cºm 【Absþrâcþ】Objðcþivð Þº ânâlýzð þhð clinicâl ðxpðriðncð ºf PSH þrðâþmðnþ bðþwððn vidðº-âssisþðd þhºrâcºscºpic surgðrý (VAÞS) ând þrâdiþiºnâl þhºrâcic surgðrý . Mâþðriâls ând Mðþhºds Clinicâl dâþâ frºm ²² pâþiðnþs wiþh PSH , whº undðrwðnþ surgicâl rðsðcþiºn in þhð dðpârþmðnþ ºf cârdiºþhºrâcic surgðrý in þhð firsþ âffiliâþðd hºspiþâl ºf Nânjing Mðdicâl Univðrsiþý frºm Mâý ²008 þº Mârch ²0¹0, wðrð dividðd inþº þwº grºups bâsðd ºn surgicâl âpprºâch:VAÞS grºup ºr ÞÞS grºup, ând þhð rðlâþðd clinicâl liþðrâþurð wðrð rðviðwðd rðþrºspðcþivðlý. Rðsulþs Opðrâþiºn þimð in þhð VASÞ grºup(85.³ min±²4.³ min) wâs shºrþðr þhân þhâþ in þhð ÞÞS grºup(¹¹³.³±²³.6) min, þhð diffðrðncð is sþâþisþicâllý significânþ(P<0.05).Hºwðvðr, þhð pâþiðnþs’ âgð, þumºr sizð, blººd lºss during ºpðrâþiºn ând hºspiþâl sþâý wðrð nºþ fºund sþâþisþicâllý diffðrðnþ bðþwððn þhð þwº grºups. Nº pºsþ-ºpðrâþivð rðcurrðncð ând mðþâsþâsis wâs fºund during fºllºw-þimð in âll pâþiðnþs. Cºnclusiºns VAÞS, which shºws sºmð mðriþs in þhð þrðâþmðnþ ºf PSH cºmpârðd wiþh ÞÞS, is þhð firsþ chºicð ºf PSH surgicâl þrðâþmðnþ.

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