两种手术方式治疗中上段食管癌的效果比较  

Comparison of two surgical methods for the treatment of middle and upper esophageal carcinoma

作　　者：黄亮 丘碧波 叶红卫 

机构地区：[1]兴宁市人民医院心胸外科,广东兴宁514500

出　　处：《疾病监测与控制》2017年第7期539-540,共2页Journal of Diseases Monitor and Control

摘　　要：目的比较经三切口和传统左开胸切口治疗中上段食管癌的疗效。方法采纳我院2013年1月~2016年9月治疗的中上段食管癌患者40例,随机抽取20例采用三切口术式的患者作为观察组,对照组则采用传统的左开胸切口。分析两组手术情况、术后并发症及生存率。结果观察组手术时间、淋巴结清扫数目、术后住院时间和并发症均明显多于对照组(P﹤0.05);观察组患者术后并发症少于对照组(P﹤0.05),具有统计学差异;两组患者留置胸腔引流管时间无统计学差异(P﹥0.05);两组术后3年内,患者生存率100%。结论与传统左开胸切口相比,中上段食管癌患者采用三切口术式效果较优且其术后并发症较低。Objective To compare the efficacy of three incisions and traditional left open thoracotomy in the treatment of esophageal cancer. Methods Forty patients with upper esophageal cancer confirmed by pathology from January 2013 to September 2016 were randomly selected. Twenty patients were randomly divided into three groups. The patients in the control group were treated with conventional left open thoracotomy. The operation, postoperative complications and survival rate were analyzed. Results The time of operation, the number of lymph nodes dissection, the time of hospitalization and complications were significantly higher in the observation group than in the control group （P 〈 0.0fi）. The postoperative complications of the observation group were less than the control group （P 〈 0.05）; There was no significant difference about the indwelling chest drainage tube time between two groups （P 〉 0.05）. The survival rate of the patients in the two groups was 100%. Conclusion Compared with the conventional left thoracotomy, the incision of the upper esophagus is more effective and the postoperative complication is lower.

关 键 词：三切口术式 左开胸切口 中上段食管癌 

分 类 号：R735.1[医药卫生—肿瘤]