摘要
目的对比研究改良Ivor-Lewis术式与左开胸术式在治疗中下段食管癌的疗效。方法选择我院确诊的170例中下段食管癌患者,随机分为观察组与对照组,各85例。观察组实施改良Ivor-Lewis术,对照组实施左开胸术,对比两组疗效。结果两组患者的术后并发症发生率、术中出血量、带鼻胃管时间及手术时间相比,差异不具有统计学意义(P>0.05);观察组淋巴结清扫数目及住院时间均优于对照组,差异不具有统计学意义(P<0.05)。结论相对于左开胸术式而言,给予中下段食管癌患者改良Ivor-Lewis术治疗可缩短住院时间,且淋巴结清扫更彻底、疗效更理想。
Objective To compare the curative effect of modified IvorLewis operation and left thoracotomy in the treatment of esophageal carcinoma in the middle and lower part of the esophagus. Methods 170 patients who were diagnosed with esophageal cancer in the lower section in our hospital were randomly divided into observation group（85 cases） and control group（85 cases）.Observation group received modified Ivor-Lewis, the control group received left thoracotomy, compared with the two groups of curative effect. Results Postoperative complication rate, intraoperative bleeding volume, nasogastric tube time and operation time between two group had no significant difference（P0.05）, lymph node dissection number and length of hospital stay in observation group were better than the control group, the difference was significant（P0.05）. Conclusion Compared with left thoracotomy, the treatment of Ivor-Lewis in patients with lower esophageal cancer can significantly shorten the length of hospital stay, and lymph node dissection is more thorough and effective.
出处
《中国继续医学教育》
2016年第8期120-121,共2页
China Continuing Medical Education
