中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
18期
2778-2780
,共3页
食管肿瘤%微创手术%胸腹腔镜%疗效
食管腫瘤%微創手術%胸腹腔鏡%療效
식관종류%미창수술%흉복강경%료효
Esophageal carcinoma%Minimally invasive surgery%Thoracoscope and laparoscope%The curative effect
目的 分析探讨在治疗食管癌方面应用胸、腹腔镜联合手术治疗的临床价值.方法 食管癌患者88例,按数字表法随机分为两组,每组44例.对照组行食管癌根治术,观察组行胸腹腔镜联合食管癌根治术,观察两组患者的临床疗效.结果 观察组的手术时间略高于对照组(t=1.372,P＞0.05),淋巴结清扫数目多于对照组(t=1.573,P＞0.05);观察组术中出血量为(85.6 ±30.7)mL、术后拔管时间(4.1±1.3)d、胸腔引流量(550.0±30.5)mL、术后住院时间(10.8±2.2)d均明显低于对照组的(220.4 ±58.7)mL、(7.5±1.8)d、(1 130.0±50.8)mL和(17.1 ±3.8)d(t=18.847、6.486、40.649、8.938,均P＜0.05).术后并发症发生率(6.82％)显著低于对照组(27.27％) (x2 =5.143,P＜0.05).结论 胸腹腔镜联合手术治疗食管癌可缩短住院时间,减少出血量,降低并发症发生率,安全性高,淋巴结清扫更彻底.
目的 分析探討在治療食管癌方麵應用胸、腹腔鏡聯閤手術治療的臨床價值.方法 食管癌患者88例,按數字錶法隨機分為兩組,每組44例.對照組行食管癌根治術,觀察組行胸腹腔鏡聯閤食管癌根治術,觀察兩組患者的臨床療效.結果 觀察組的手術時間略高于對照組(t=1.372,P＞0.05),淋巴結清掃數目多于對照組(t=1.573,P＞0.05);觀察組術中齣血量為(85.6 ±30.7)mL、術後拔管時間(4.1±1.3)d、胸腔引流量(550.0±30.5)mL、術後住院時間(10.8±2.2)d均明顯低于對照組的(220.4 ±58.7)mL、(7.5±1.8)d、(1 130.0±50.8)mL和(17.1 ±3.8)d(t=18.847、6.486、40.649、8.938,均P＜0.05).術後併髮癥髮生率(6.82％)顯著低于對照組(27.27％) (x2 =5.143,P＜0.05).結論 胸腹腔鏡聯閤手術治療食管癌可縮短住院時間,減少齣血量,降低併髮癥髮生率,安全性高,淋巴結清掃更徹底.
목적 분석탐토재치료식관암방면응용흉、복강경연합수술치료적림상개치.방법 식관암환자88례,안수자표법수궤분위량조,매조44례.대조조행식관암근치술,관찰조행흉복강경연합식관암근치술,관찰량조환자적림상료효.결과 관찰조적수술시간략고우대조조(t=1.372,P＞0.05),림파결청소수목다우대조조(t=1.573,P＞0.05);관찰조술중출혈량위(85.6 ±30.7)mL、술후발관시간(4.1±1.3)d、흉강인류량(550.0±30.5)mL、술후주원시간(10.8±2.2)d균명현저우대조조적(220.4 ±58.7)mL、(7.5±1.8)d、(1 130.0±50.8)mL화(17.1 ±3.8)d(t=18.847、6.486、40.649、8.938,균P＜0.05).술후병발증발생솔(6.82％)현저저우대조조(27.27％) (x2 =5.143,P＜0.05).결론 흉복강경연합수술치료식관암가축단주원시간,감소출혈량,강저병발증발생솔,안전성고,림파결청소경철저.
Objective To analyze effects comparison of thoracoscopy combined with laparoscopy surgery and the conventional thoracotomy in treatment of esophageal cancer.Methods 88 patients with esophageal carcinoma in the past two years in our department were randomly divided into the two groups according to the digital form,each group had 44 cases.The control group was given radical operation as the treatment for esophageal carcinoma,while the observation group used thoracoscope combined with laparoscope radical operation for treatment.The clinical efficacy of the two groups was compared.Results The operation time of the observation group was slightly higher than that of the control group (t =1.372,P ＞ 0.05),the number of lymph node dissection in the observation group was more than that of the control group (t =1.573,P ＞ 0.05).The intraoperative blood loss [(85.6 ± 30.7) mL],postoperative extubation time [(4.1 ± 1.3) d],chest drainage volume [(550.0 ± 30.5) mL] and postoperative hospital stay [(10.8 ± 2.2)d] in the observation group were significantly lower than those in the control group [(220.4 ± 58.7)mL,(7.5 ±1.8)d,(1 130.0 ±50.8)mL,(17.1 ±3.8)d,(t =18.847,6.486,40.649,8.938,all P ＜0.05)].The incidence of postoperative complications in observation group(6.82％)was significantly lower than that of control group (27.27％) (x2 =5.143,P ＜ 0.05).Conclusion Thoracoscope and laparoscope combined surgery in treatment of esophageal carcinoma can shorten time of being in hospital,decrease blood loss,reduce the incidence of complications,receive high safety and remove lymph node more thoroughly.
