Effect of sternal retractor combined with artificial pneumothorax on phrenic nerve protection in thoraco-scopic mediastinal tumor surgery
Objective To investigate the protective effect of sternal retractor combined with artificial pneumothorax on phrenic nerve,intraoperative indexes and postoperative rehabilitation in thoracoscopic anterior mediastinal tumor resection.Method The clini-cal data of 55 patients with thoracoscopic anterior mediastinal tumor admitted to Suqian Hospital of Nanjing Gulou Hospital Group were retrospectively analyzed.The study group consisted of 22 patients who received phrenic nerve protection with sternal retracting hook combined with artificial pneumothorax via sword burst approach,and the control group consisted of 33 patients who did not receive phrenic nerve protection through thoracoscopic traditional lateral thoracoscopy.Compare various indicators and postoperative phrenic nerve injury.Results All the 55 patients completed the operation.The rate of phrenic nerve injury in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Patients in the study group were higher than those in the control group in terms of postoperative operation time,blood loss,pain score and ventilation time,with statistical significance(P<0.05),while there was no statistical significance in terms of hospitalization time and drainage tube retention time between the two groups(P>0.05).Conclusion For patients with anterior mediastinal tumor,the protective effect of phrenic nerve with sternal retractor combined with artificial pneumothorax through sword approach is significantly improved compared with traditional operation,and has the advantages of reducing intraoperative trauma,promoting postoperative rehabilitation and reducing postoperative complications,which is worthy of clinical application.
万方数据
维普
