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胸腹腔镜食管癌根治术在老年食管癌治疗中的应用价值 被引量:43

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摘要 目的探讨胸腹腔镜食管癌根治术在老年食管癌治疗中的应用价值。方法老年食管癌病例96例中行胸、腹腔镜食管癌根治术的50例患者为观察组,行常规食管癌根治术的46例患者为对照组。结果两组术中出血量、切口大小、淋巴清除数、术后出院时间及肺功能相关指标最大通气量(MVV)、用力肺活量(FVC)差异均显著(P<0.05);观察组术后第3、5天炎症指标降钙素原(PCT)、C-反应蛋白(CRP)、白细胞介素(IL)-6水平明显低于对照组(P<0.05)。观察组术后第3、5天CRP水平低于术后第1天(P<0.05)。观察组术后第1天IL-6水平明显低于对照组(P<0.05)。观察组术后第3、5天IL-6水平低于术后第1天(P<0.05);术后第5天,观察组血PCT与CRP呈现显著正相关(r=0.377,P=0.007),PCT与IL-6呈现显著正相关(r=0.565,P<0.001)。结论腹腔镜食管癌根治术比常规食管癌根治术在治疗效果、减少并发症等方面优点明显。
作者 靳超
出处 《中国老年学杂志》 CAS CSCD 北大核心 2016年第10期2413-2414,共2页 Chinese Journal of Gerontology
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