双镜联合微创治疗食管平滑肌瘤的临床研究  

Clinical research of thoracoscopic and gastroscopic cooperative surgery for esophageal leiomyoma

作　　者：徐绍敢[1] 曹祥[1] 乔德成[1] 谢念林[1] 黄洁健[1] 刘燕[1] 

机构地区：[1]解放军第161中心医院心胸外科,武汉430010

出　　处：《临床外科杂志》2013年第8期629-630,共2页Journal of Clinical Surgery

摘　　要：目的 探讨完全电视胸腔镜（cVATS）联合胃镜在食管平滑肌瘤治疗中的临床应用价值.方法 回顾性分析2007年2月至2011年7月应用cVATS联合胃镜微创治疗的19例食管平滑肌瘤患者临床资料（双镜联合组）,用同期小切口开胸治疗的21例食管平滑肌瘤患者做对照（小切口组）,比较两组患者的手术时间、术中出血量、术后下床时间、术后胸管拔管时间及术后住院时间等.结果 双镜联合组19例中无1例中转开胸,无1例食管黏膜穿孔,无1例手术死亡；小切口组2例延长切口手术,3例食管穿孔术中行修补术.对双镜联合组与小切口组患者在术中出血量、术后下床时间、术后胸管拔除时间、术后住院时间进行比较,差异有统计学意义（P＜0.05）,两组手术时间比较,差异无统计学意义（P＞0.05）.结论 cVATS联合胃镜微创治疗食管平滑肌瘤具有切口小,恢复快,微创的特点,可作为食管平滑肌瘤外科治疗的首选手术方式.Objective To explore the value of completely video-assisted thoracoscopic surgery （cVATS） and gastroscope in the treatment of esophageal leiomyoma.Methods The clinical data of 19 patients with esophageal leiomyoma who underwent extraction surgery by cVATS and gastroscope from February 2007 to July 2011 were retrospectively analyzed（combined group）.The other 23 patients with esophageal leiomyoma underwent routine thoracotomy as control（routine group）.The operation time,perioperative bleeding,postoperative activity time,extubation time and hospital stay were compared between the groups.Results There was no operative death,serious complication and conversions to thoracotomy in the combined group.There were 2 cases of lengthened incisal opening and 3 cases of esophagus neoplasty after perforation.The differences in perioperative bleeding,postoperative activity time,extubation time and hospital stay between the groups were significant while the difference in hospital was not.Conclusion The combination of cVATS and gastroscope has the advantages of small incision,quick recovery and minimal invasion.It could be regarded as the first choice for the treatment of esophageal leiomyoma.

关 键 词：完全电视胸腔镜 胃镜 食管平滑肌瘤 微创 

分 类 号：R735.1[医药卫生—肿瘤]