摘要
目的探讨经左胸小切口配合管状胃在食管癌切除术中的临床疗效。方法选取100例胸段食管癌患者随机分为两组,每组均为50例。观察组采用经左胸小切口配合管状胃进行治疗,对照组给予Sweet手术治疗,比较两组开胸失血量、手术时间、术后胸腔引流量、心肺并发症、住院时间、切缘癌残留情况。结果观察组开胸出血量(8.9±1.98)ml,心肺并发症2例,术后第一天胸腔引流量(8.9±1.98)ml,第二天胸腔引流量(65±11.7)ml,切缘癌残留0例,住院时间(10.1±2.72)d,均明显低于对照组,组间差异有统计学意义(P<0.05);观察组手术时间[(183.3±23.1)min]与对照组[(170.3±30.2)min]比较,无统计学意义(P>0.05)。结论采用经左胸小切口配合管状胃对食管癌进行治疗,不仅具有患者术后创伤小,出血少,且患者术后疼痛轻,能够快速得到恢复等优点,值得在临床中大力推广。
Objective To analyze the effect of the treatment in the resection of esophageal carcinoma by left chest small incision combined with gastric tube. Methods 100 cases of thoracic esophageal cancer were selected, and they were randomly divided into two groups, the observation group treated by left chest small incision combined with gastric tube for treatment; the control group was given sweet operation treatment; Comparison to two groups of open chest operation time, blood loss, postoperative drainage volume, cardiac and pulmonary complications, hospital stay, the cutting edge of residual. Results The observation group of thoracic hemorrhage group （8. 9± 1.98） ml, cardiac and pulmonary complications in 2 cases, first day postoperative pleural drainage （8.9± 1.98） ml, the very next day pleural drainage （65 ± 11.7） ml, the residual tumor after resection in 0 cases, hospitalization time （10.1±2.72） d were significantly lower than those of control group, the difference was statistically significant （P〈0.05） ; operation time of observation group （183.3 ± 23.1） min and control group （170. 3±30. 2） rain showed no significant difference（P〈0. 05）. Conclusion Use the left chest small incision combined with gastric tube on esophageal carcinoma were treated only with patients after minor trauma, less bleeding, and postoperative pain in patients with light and can quickly restore the merits, is worth in the clinical popularized.
出处
《西部医学》
2012年第12期2349-2350,共2页
Medical Journal of West China
关键词
小切口
管状胃
食管癌
Sweet手术
Small incision
gastric tube
esophageal cancer
Sweet operation
