中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
14期
13-15
,共3页
徐宝川%徐美青%魏大中%马冬春%郭明发%戎保林%梅新宇%徐世斌
徐寶川%徐美青%魏大中%馬鼕春%郭明髮%戎保林%梅新宇%徐世斌
서보천%서미청%위대중%마동춘%곽명발%융보림%매신우%서세빈
食管肿瘤%胸腔镜检查%肿瘤分期
食管腫瘤%胸腔鏡檢查%腫瘤分期
식관종류%흉강경검사%종류분기
Esophageal neoplasms%Thoracoscopy%Neoplasm staging
目的 探讨电视胸腔镜(VATS)下食管癌根治术治疗Ⅰ、Ⅱ期食管癌的安全性和有效性.方法 回顾性分析2007年9月至2009年9月接受食管癌根治术治疗的Ⅰ、Ⅱ期食管癌患者43例,观察组16例行VATS下食管癌根治术,对照组27例行传统食管癌根治术.对比两组术前、术中、术后近期情况.结果 观察组胸部手术时间[(115.6±48.0)min]、胸部出血量[(131±71)ml]、术后首日胸液量[(331±170)ml]、胸引流管保留时间[(7.25±2.35)d]、术后36 h视觉疼痛模拟评分[(3.4±1.2)分]、术后胸液总量[(1281±534)ml]、术后72 h右上肢功能恢复[(5.1±1.5)cm]与对照组[分别为(145.6±20.6)min、(292±111)ml、(494±194)ml、(10.00±2.79)d、(7.3±1.4)分、(1780±731)ml、(15.6±3.1)cm]比较差异均有统计学意义(P＜0.01或＜0.05);两组淋巴结清扫数、住院总费用比较差异无统计学意义(P＞0.05).结论 VATS下食管癌根治术与传统食管癌根治术治疗Ⅰ、Ⅱ期食管癌具有相似的安全性和彻底性,但VATS下食管癌根治术较传统食管癌根治术的胸部出血量少,术后胸液量少,疼痛轻微,上肢活动恢复好.
目的 探討電視胸腔鏡(VATS)下食管癌根治術治療Ⅰ、Ⅱ期食管癌的安全性和有效性.方法 迴顧性分析2007年9月至2009年9月接受食管癌根治術治療的Ⅰ、Ⅱ期食管癌患者43例,觀察組16例行VATS下食管癌根治術,對照組27例行傳統食管癌根治術.對比兩組術前、術中、術後近期情況.結果 觀察組胸部手術時間[(115.6±48.0)min]、胸部齣血量[(131±71)ml]、術後首日胸液量[(331±170)ml]、胸引流管保留時間[(7.25±2.35)d]、術後36 h視覺疼痛模擬評分[(3.4±1.2)分]、術後胸液總量[(1281±534)ml]、術後72 h右上肢功能恢複[(5.1±1.5)cm]與對照組[分彆為(145.6±20.6)min、(292±111)ml、(494±194)ml、(10.00±2.79)d、(7.3±1.4)分、(1780±731)ml、(15.6±3.1)cm]比較差異均有統計學意義(P＜0.01或＜0.05);兩組淋巴結清掃數、住院總費用比較差異無統計學意義(P＞0.05).結論 VATS下食管癌根治術與傳統食管癌根治術治療Ⅰ、Ⅱ期食管癌具有相似的安全性和徹底性,但VATS下食管癌根治術較傳統食管癌根治術的胸部齣血量少,術後胸液量少,疼痛輕微,上肢活動恢複好.
목적 탐토전시흉강경(VATS)하식관암근치술치료Ⅰ、Ⅱ기식관암적안전성화유효성.방법 회고성분석2007년9월지2009년9월접수식관암근치술치료적Ⅰ、Ⅱ기식관암환자43례,관찰조16례행VATS하식관암근치술,대조조27례행전통식관암근치술.대비량조술전、술중、술후근기정황.결과 관찰조흉부수술시간[(115.6±48.0)min]、흉부출혈량[(131±71)ml]、술후수일흉액량[(331±170)ml]、흉인류관보류시간[(7.25±2.35)d]、술후36 h시각동통모의평분[(3.4±1.2)분]、술후흉액총량[(1281±534)ml]、술후72 h우상지공능회복[(5.1±1.5)cm]여대조조[분별위(145.6±20.6)min、(292±111)ml、(494±194)ml、(10.00±2.79)d、(7.3±1.4)분、(1780±731)ml、(15.6±3.1)cm]비교차이균유통계학의의(P＜0.01혹＜0.05);량조림파결청소수、주원총비용비교차이무통계학의의(P＞0.05).결론 VATS하식관암근치술여전통식관암근치술치료Ⅰ、Ⅱ기식관암구유상사적안전성화철저성,단VATS하식관암근치술교전통식관암근치술적흉부출혈량소,술후흉액량소,동통경미,상지활동회복호.
Objective To compare the results and safety between video-assisted thoracoscopic surgery ( VATS ) and conventional radical operation in patients with stage Ⅰ , Ⅱ esophageal cancer. Methods Retrospectively reviewed 43 patients with stage Ⅰ , Ⅱ esophageal cancer,underwent either VATS radical operation (VATS group,16 cases) or conventional radical operation (control group,27 cases ) from September 2007 to September 2009. Patient's operative characteristics and postoperative courses were compared between two groups. Results In VATS group the operation time was ( 115.6 ± 48.0) min,the peri-operative blood loss was ( 131 ± 71 ) ml,the first postoperative day chest lead quantity was (331 ± 170)ml, the time of postoperative chest tube was (7.25 ± 2.35) d,the postoperative 36 h visual analogue scale (VAS) was (3.4 ± 1.2) scores,the postoperative drainage of chest was ( 1281 ± 534) ml,the 72 h postoperative locomotor activity of right upper extremity was (5.1 ± 1.5) cm. While in control group was ( 145.6 ± 20.6)min, (292 ± 111 ) ml, (494 ± 194) ml, ( 10.00 ± 2.79 )d, (7.3 ± 1.4) scores, ( 1780 ± 731 ) ml, ( 15.6 ± 3.1 )cm respectively (P ＜ 0.01 or ＜ 0.05 ). The lymph node dissection number,the total cost of hospital between were no statistically significant differences in two groups (P ＞0.05). Conclusion Comparing with conventional radical operation, VATS radical operation for patients with stage Ⅰ , Ⅱ esophageal cancer appears to be as effective but less morbid.
