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肺非霍奇金淋巴瘤一例

小兒支氣管類癌一例

縱隔脂肪肉瘤一例

電視胸腔鏡手術中心性非小細胞肺癌支氣管袖式切除的病例對照研究

目的 探討胸腔鏡下中心性非小細胞肺癌支氣管袖式切除的臨床療效。 方法 回顧性分析我院 2014 年 6 月至 2018 年 3 月 44 例中心性非小細胞肺癌患者的臨床資料，男 38 例、女 6 例，年齡 43～73 歲。其中 18 例患者采用胸腔鏡下支氣管袖式切除淋巴結清掃術，為腔鏡組；26 例患者采用開胸支氣管袖式切除淋巴結清掃術，為開胸組。比較兩組臨床效果。 結果 兩組患者手術時間、手術出血量、拔管時間、術后住院時間差異均無統計學意義（P>0.05）。胸腔鏡手術組較開胸手術組支氣管吻合時間更長、術后 24 h 及術后 72 h 疼痛評分更低，差異有統計學意義（P<0.05）。 結論 胸腔鏡下中心性肺癌支氣管袖式切除患者術后疼痛更輕，拔管時間更短。

Clinical analysis of the mediastinal tumor in patients with spontaneous breathing intravenous anesthesia

ObjectiveTo evaluate the safety and the clinical curative effect of mediastinal tumor resection by video-assisted thoracoscopic surgery(VATS） with spontaneous breathing under intravenous anesthesia, comparing with endotracheal tube anesthesia.MethodsThe data of 43 patients, aged 28–58 years, with mediastinal benign tumors which had been cofirmed by chest CT in our hospital were retrospectively analyzed. Among them, 18 patients underwent mediastinal tumor resection by VATS with spontaneous breathing under intravenous anesthesia, 25 patients by endotracheal tube anesthesia.The differences, including the time of anesthesia intubation and extubation, operation time and intraoperative blood loss, muscle strength at 4 hours and at 24 hours after operation, pain score at 24 hours after operation, hospitalization time, were be compared between the two groups.ResultsThe duration of intubation (17.8±4.8 min) in spontaneous breathing under intravenous anesthesia group was shorter than another group (28.6±8.17 min), the difference was statistically significant (P<0.05). Muscle strength at 4 hours after operation in spontaneous breathing under intravenous anesthesia group was significantly higher than another group (38.5±6.5 kg vs. 28.3±5.2 kg, P<0.05) as well. However, there was no significant difference between the two groups in extubation time, operation time and intraoperative blood loss, muscle strength and pain score at 24 hours after operation, hospitalization time.