摘要
目的探讨胸腔镜下食管癌根治术的护理、手术配合相关体会。方法选择2016年1月—2017年10月在该院接受胸腔镜下食管癌根除手术的患者36例作为对照组,术中采取常规配合措施;另择取同时间内在该院实施胸腔镜下食管癌根除术的患者36例作为观察组,在术前、术中加强手术配合;对比两组患者的手术指标、手术并发症情况,总结手术配合体会。结果经比较,观察组手术时间(101.67±10.13)min、术中出血量(136.92±12.46)m L,对照组手术时间(120.52±9.95)min、术中出血量(151.04±13.04)m L,两组差异有统计学意义(P<0.05);观察组并发症1例,并发症率2.78%,对照组并发症8例,并发症率22.22%(χ~2=4.571,P<0.05)。结论在胸腔镜下食管癌根治术的术前做好针对性准备、术中加强配合,有助于提高手术效率及安全性,值得临床借鉴及应用。
Objective To study the related experience of nursing and operation cooperation of thoracoscopic radical resection of esophageal cancer. Methods 36 cases of patients with thoracoscopic radical resection of esophageal cancer in our hospital from January 2016 to October 2017 were selected as the control group, and used the routine cooperation measures, while 36 cases of patients with thoracoscopic radical resection of esophageal cancer admitted and treated in our hospital at the same period were selected as the observation group, and enhanced the operative cooperation before and in operation, and the operative indexes, and operative complications were compared between the two groups, and the operative cooperation experience was summarized. Results The comparison showed that the operative time and intraoperative bleeding amount in the observation group and in the control group were respectively（101.67 ±10.13） min,（136.92±12.46）mL and（120.52±9.95）min,（151.04±13.04）mL, and the differences between groups were statistically significant（P0.05）, and the occurrence case of complications in the observation group and in the control group was respectively 1 case and 8 cases（2.78% vs 22.22%）（χ~2=4.571, P 0.05）. Conclusion We should do well in the targeted preparation in the thoracoscopic radical resection of esophageal cancer and enhance the cooperation in operation, which contributes to improving the operative efficacy and safety, and it is worth clinical reference and application.
作者
盛熠
SHENG Yi(Operation Room,Jintan District Hospital of TCM,Changzhou,Jiangsu Province,213200 China)
出处
《系统医学》
2018年第11期165-166,169,共3页
Systems Medicine
关键词
胸腔镜
食管癌根治术
手术配合
体会
Thoracoscopic
Radical resection of esophageal cancer
Operative cooperation
Experience
