摘要
目的总结胸腔镜食管癌手术的临床经验,探讨该手术在临床的应用价值。方法选择收治的156例食管癌患者,利用随机数字法将其均分成观察组与对照组,对照组的患者给予常规开放手术治疗,观察组的患者采用胸腔镜来对胸段食管进行游离,并对淋巴结进行清扫,然后行食管—胃颈部吻合术,对两组患者的治疗效果进行比较。结果两组患者的治疗效果、住院时间、手术时间以及术中出血量,淋巴结清扫数量及阳性率、术后肺部感染率、心律失常发生率比较差异有统计学意义(P<0.05)。结论术后疼痛轻、术中出血量少、手术时间短、安全可靠等优点,为食管癌外科治疗的首要选择。
Objective To summarize thoracoscopic esophageal cancer clinical experience,discuss the procedure in the clinical application value. Methods In our hospital from June 2010 to June 2014 treated 156 cases of esophageal cancer patients as research subjects,using the random number method,divided them into observation group and control group,the control group of patients treated with conventional open surgery,observation group treated with thoracoscopic thoracic esophagus to the right for free,and lymph node dissection,and then line the esophagus- stomach and cervical anastomosis,the therapeutic effect of two groups were compared. Results There were patient outcomes,length of stay,operative time and blood loss,number of lymph node dissection and the positive rate of postoperative pulmonary infection,there are obvious differences in the incidence rate of arrhythmia,with statistical significance（ P〈0. 05）. Conclusion In patients with esophageal cancer clinical treatment process,thoracoscopy with postoperative pain,less blood loss,shorter operative time,safe and reliable,so in the clinical treatment of patients with esophageal cancer and worth promoting universal access. Thoracoscopic esophageal cancer surgery is safe and effective,as the first choice of surgical treatment of esophageal cancer.
出处
《医药论坛杂志》
2015年第10期69-70,共2页
Journal of Medical Forum
关键词
食管癌
胸腔镜
临床应用
Thoracoscopic
Esophageal
Clinical application
