摘要
目的研究侧俯卧位全腔镜食管癌手术临床普及淋巴结清扫的效果。方法方便选取2015年9月—2016年10月来该院接受食管癌手术治疗的患者86例,所有患者均通过入院前确诊,手术病理诊断满足食管癌患病标准,然后随机均分为两组,即治疗组与对照组。各小组患者均为43例,其中对照组组均采用颈、胸、腹三切口食管癌切除手术治疗,而研究组则采用全腔镜手术治疗,对比各组患者的治疗情况,不同位置淋巴清扫数量情况以及各组患者的术后并发症情况,计算并发症发病率,且展开组间数据对比。结果根据该次研究结果显示,对比治疗情况数据可知,治疗组患者无论在手术出血量、手术周期、转移例数方面均优于对照组;而对比两组不同位置淋巴清扫数量情况,治疗组淋巴清扫数量总数为(8.9±2.4)个;对照组淋巴清扫数量总数(12.8±3.3)个,治疗组数量明显多于对照组;此外,对比所有患者的术后并发症情况可知,治疗组并发症发病概率为9.30%,对照组并发症发病率为27.91%,治疗组发病概率要明显低于对照组,以上小组资料对比差异有统计学意义(P<0.05)。结论同比一般治疗方法,以全腔镜手术治疗食管癌患者疗效显著,并发症较少,存在临床推广价值与意义。
Objective This paper tries to study the clinical effect of lymph node dissection in the prone position in all-cavity esophageal carcinoma. Methods 86 patients who underwent surgery for esophageal cancer in this hospital were convenient selected from September 2015 to October 2016. All patients were diagnosed before admission. Surgical and pathological diagnosis met the esophageal cancer prevalence criteria and were randomly divided into two groups： treatment group and control group. 43 cases in each group, in which the control group was treated with resection of esophagectomy with cervical incision, thorax and abdomen, and the study group was treated with full-endoscopic surgery. The treatment conditions of the patients in each group were compared. The number of lymphatic dissections and the postoperative complications of the patients in each group were calculated. The morbidity of the complications was calculated and comparisons between groups were performed. Results According to the results of this study, the comparison of treatment data showed that the patients in the treatment group were better than the control group in terms of surgical blood loss, surgical cycle, and the number of metastases; compared with the number of lymph node dissections in the two groups, the treatment group lymph of total number of sweeps was（8.9±2.4）; the number of lymphatic dissections in the control group（12.8±3.3） was significantly more than the control group; in addition, the postoperative complications of all patients were known and the treatment group had complications. The incidence probability was 9.30%, and the incidence of complications in the control group was 27.91%. The incidence of the treatment group was significantly lower than that of the control group. There was a significant difference in the data of the above groups, which was statistically significant（P〈0.05）. Conclusion Compared with the general treatment methods, the use of full-endoscopic surgery for the treatment of esophageal cancer patients with significant effect, fewer complications, there is a clinical extension of the value and significance.
作者
丁长柏
卢庆国
王健
DING Chang-bai;LU Qing-guo;WANG Jian(Department of Thoracic and Heart Surgery,Pizhou People＇s Hospital,Pizhou,Jiangsu Province,221300 China)
出处
《中外医疗》
2018年第16期21-23,共3页
China & Foreign Medical Treatment
关键词
侧俯卧位
全腔镜食管癌手术
淋巴结清扫
临床疗效
Side prone position
Full-scope endoscopic esophageal cancer surgery
Lymph node dissection
Clinical efficacy
