摘要
目的研究胸腔镜联合腹腔镜和开胸三切口食管癌根治术治疗食管癌的效果差异。方法选择我院收治的111例食管癌患者作为研究对象,按照手术方法分为两组,对照组55例患者行开胸三切口食管癌根治术,而实验组56例患者行胸腔镜联合腹腔镜食管癌根治术。观察两组患者手术时间、术中出血量、住院时间、术后5d疼痛评分、术后引流量、术后拔管时间等指标,并进行为期两年的院外随访,观察患者的预后指标如术后并发症发生率、复发率和生存率等。结果对照组的手术时间、术中出血量、住院时间、术后5d疼痛评分、术后引流量、术后拔管时间均明显高于实验组,差异有统计学意义(P<0.05)。两年的院外随访期间,对照组患者的术后并发症发生率和复发率显著高于实验组,而其生存率低于实验组,差异有统计学意义(P<0.05)。结论相对于开胸三切口食管癌根治术,胸腔镜联合腹腔镜食管根治术较安全,具有更好的治疗效果,且患者手术创伤小,术后恢复快,术后并发症发生率低,值得临床推广。
Objective To explore the effect difference of thoracoscopy joint laparoscope and radical resection of esophageal carcinoma with three incision thoracotomy in treatment of esophageal cancer. Methods 111 cases of patients with esophageal cancer Cured in our hospital were selected as the study objects and divided into two group according to the operation method.55 cases were divided into control group and treated with radical resection of esophageal carcinoma with three incision thoracotomy, and 56 cases were divided into experimental groupand treated with thoracoscopy joint laparoscope.Operation time,intraoperative blood loss, hospital stay,postoperative 5D pain score,postoperative drainage volume,postoperative extubation time and other indicators were observed.And two-year out hospital follow-up was carried on.Prognostic indicators such as postoperative complication rate,recurrence rate and survival rate were observed. Results The operative time,blood loss,hospitalizati0n time,postoperative 5D pain score,postoperative drainage,postoperative extubation time of control group were significantly higher than those of experimental group, and the differences were statistically significant （P 〈 0.05）.Outside the hospital during two years of follow-up,the incidence of postoperative complications and recurrence rate of patients in the control group were significantly higher than the experimental group,and the survival rate was lower than the experimental group,there were statistically significant differences in the indexes of both （P 〈 0.05）. Conclusion Compared with the radical resection of esophageal carcinoma with three incision thoracotomy,thoracoscopy joint laparoscope is safe.h has better curative effect.And it has small trauma,rapid postoperative recovery,low incidence of postoperative complications.It is worthy of clinical promotion.
出处
《中国医药科学》
2017年第3期169-171,178,共4页
China Medicine And Pharmacy
关键词
胸腔镜联合腹腔镜
开胸三切口
食管癌
治疗效果
Thoracoscopy joint laparoscope
Radical resection of esophageal carcinoma with three incision thoracotomy
Esophageal cancer
Curative effect
