临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
24期
2051-2053
,共3页
食管癌%手术%右胸单切口%右胸双切口
食管癌%手術%右胸單切口%右胸雙切口
식관암%수술%우흉단절구%우흉쌍절구
Esophageal cancer%Operation%Right thoracic single incision%Right thoracic double incision
目的：探讨右胸单切口术式在胸中上段食管癌治疗中的应用价值。方法选择2008年10月至2013年4月收治的食管癌患者58例，将30例胸中上段食管癌行右单切口术式的患者纳入试验组，另28例胸中上段食管癌同期行右胸及上腹双切口术式的患者纳入对照组。比较两组患者手术时间、术中出血量、淋巴结清扫个数、术后并发症以及术后生存情况。结果试验组手术时间明显短于对照组，差异有统计学意义（ P ＜0.01）；其他指标比较差异无统计学意义（ P ＞0.05），但由于对照组双切口范围较大，所以淋巴结清扫个数要多于试验组。两组患者1年生存率均为100％；3年生存率试验组84.62％，对照组84.00％；5年生存率试验组46.15％，对照组48.00％，3年及5年生存率差异均无统计学意义（ P ＞0.05）。结论右胸单切口术式切口少，创伤小，手术时间短，值得临床开展。
目的：探討右胸單切口術式在胸中上段食管癌治療中的應用價值。方法選擇2008年10月至2013年4月收治的食管癌患者58例，將30例胸中上段食管癌行右單切口術式的患者納入試驗組，另28例胸中上段食管癌同期行右胸及上腹雙切口術式的患者納入對照組。比較兩組患者手術時間、術中齣血量、淋巴結清掃箇數、術後併髮癥以及術後生存情況。結果試驗組手術時間明顯短于對照組，差異有統計學意義（ P ＜0.01）；其他指標比較差異無統計學意義（ P ＞0.05），但由于對照組雙切口範圍較大，所以淋巴結清掃箇數要多于試驗組。兩組患者1年生存率均為100％；3年生存率試驗組84.62％，對照組84.00％；5年生存率試驗組46.15％，對照組48.00％，3年及5年生存率差異均無統計學意義（ P ＞0.05）。結論右胸單切口術式切口少，創傷小，手術時間短，值得臨床開展。
목적：탐토우흉단절구술식재흉중상단식관암치료중적응용개치。방법선택2008년10월지2013년4월수치적식관암환자58례，장30례흉중상단식관암행우단절구술식적환자납입시험조，령28례흉중상단식관암동기행우흉급상복쌍절구술식적환자납입대조조。비교량조환자수술시간、술중출혈량、림파결청소개수、술후병발증이급술후생존정황。결과시험조수술시간명현단우대조조，차이유통계학의의（ P ＜0.01）；기타지표비교차이무통계학의의（ P ＞0.05），단유우대조조쌍절구범위교대，소이림파결청소개수요다우시험조。량조환자1년생존솔균위100％；3년생존솔시험조84.62％，대조조84.00％；5년생존솔시험조46.15％，대조조48.00％，3년급5년생존솔차이균무통계학의의（ P ＞0.05）。결론우흉단절구술식절구소，창상소，수술시간단，치득림상개전。
Objective To investigate the use of right thoracic single incision in the treatment of mid-thoracic and upper-thoracic esoph-ageal cancer. Methods 58 patients with esophageal cancer from October 2008 to April 2013 were selected. 30 patients of mid-thoracic and up-per-thoracic esophageal cancer recieved right thoracic single incision into test group,28 cases of mid-thoracic and upper-thoracic esophageal cancer recieved right thoracic and upper abdominal double incision into control group. The operation time,intraoperative blood loss,number of re-sected lymph nodes,postoperative complications and postoperative survival were compared between two groups. Results Operation time in the test group was shorter than that of control group. There was significant difference( P <0. 01). There was no significant difference in other indexes( P>0. 05). But two incision range in the control group was large,so the number of resected lymph nodes was much than taht in the test group. 1 years survival rate both in two groups was 100%;3 years survival rate in the test group was 84. 62%,the control group was 84%;5 years survival rate in the test group was 46. 15%,control group was 48%. 3-year and 5-year survival rates were not significantly different( P >0. 05). Con-clusion Right thoracic single incision having small incision,little trauma,short operation time. It is worth of clinical development.
