CAJ | 학술논문

目的：探讨经右胸全胸腔镜食管癌切除对食管癌患者的临床疗效及安全性。方法筛选我院收治的食管癌患者42例为研究对象。采用随机数表法将其分为观察组与对照组。对照组常规开胸手术，观察组经右胸全胸腔镜食管癌切除术，比较两组患者治疗效果及并发症、不良反应发生情况。结果观察组患者手术用时、住院时间、术中出血量及并发症发生率明显低于对照组，P<0.05，具有统计学意义；两组患者术后FEV1、FEV1/FVC、PEF水平显著改善，但观察组患者改善效果较对照组更显著，P<0.05，具有统计学意义。结论经右胸全胸腔镜食管癌切除术治疗食管癌疗效显著，并且手术安全性较高，术后并发症发生率较低，可显著改善患者肺功能，患者康复速度快，具有临床应用及推广价值。
목적：탐토경우흉전흉강경식관암절제대식관암환자적림상료효급안전성。방법사선아원수치적식관암환자42례위연구대상。채용수궤수표법장기분위관찰조여대조조。대조조상규개흉수술，관찰조경우흉전흉강경식관암절제술，비교량조환자치료효과급병발증、불량반응발생정황。결과관찰조환자수술용시、주원시간、술중출혈량급병발증발생솔명현저우대조조，P<0.05，구유통계학의의；량조환자술후FEV1、FEV1/FVC、PEF수평현저개선，단관찰조환자개선효과교대조조경현저，P<0.05，구유통계학의의。결론경우흉전흉강경식관암절제술치료식관암료효현저，병차수술안전성교고，술후병발증발생솔교저，가현저개선환자폐공능，환자강복속도쾌，구유림상응용급추엄개치。
Objective To investigate the clinical efficacy and safety of esophageal carcinoma on patients with esophageal carcinoma by right thoracic surgery. Methods 42 cases of esophageal cancer in our hospital were selected as the research object. They were divided into observation group and control group by use of random method, control group underwent conventional open chest surgery, observation group received video-assisted thoracoscopic esophageal carcinoma through right thoracic resection, compared two groups’ adverse reactions were outcomes and complications occurrence.Results Observation group’s hospitalization time, intraoperative bleeding volume and the incidence of complications were significantly lower than control group,P<0.05, with statistical significance; FEV1, FEV1/FVC, PEF level improved significantly after operation, the patients in the two groups were observed, but observation group’s improvement was more significantly than that of the control group,P<0.05, with statistical significance.Conclusion Thoracoscopic esophageal carcinoma through right thoracic resection surgery has significant effect, higher safety of surgery and low postoperative complication rate on treatment of esophageal cancer ,this method can significantly improve pulmonary function, rehabilitation speed fast, with clinical application and popularization value.