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肺非霍奇金淋巴瘤一例

纵隔脂肪肉瘤一例

小儿支气管类癌一例

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.

电视胸腔镜手术中心性非小细胞肺癌支气管袖式切除的病例对照研究

目的 探讨胸腔镜下中心性非小细胞肺癌支气管袖式切除的临床疗效。 方法 回顾性分析我院 2014 年 6 月至 2018 年 3 月 44 例中心性非小细胞肺癌患者的临床资料，男 38 例、女 6 例，年龄 43～73 岁。其中 18 例患者采用胸腔镜下支气管袖式切除淋巴结清扫术，为腔镜组；26 例患者采用开胸支气管袖式切除淋巴结清扫术，为开胸组。比较两组临床效果。 结果 两组患者手术时间、手术出血量、拔管时间、术后住院时间差异均无统计学意义（P>0.05）。胸腔镜手术组较开胸手术组支气管吻合时间更长、术后 24 h 及术后 72 h 疼痛评分更低，差异有统计学意义（P<0.05）。 结论 胸腔镜下中心性肺癌支气管袖式切除患者术后疼痛更轻，拔管时间更短。