对比分析微创手术治疗和开放手术治疗对食管癌患者的疗效  

To compare the efficacy of minimally invasive surgery and open surgery in patients with esophageal cancer

作　　者：高正亚[1] 王文才[1] 施我大[1] 

机构地区：[1]盐城市第三人民医院胸外科,江苏盐城224001

出　　处：《临床医药文献电子杂志》2017年第38期7330-7331,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的对比微创手术与传统的开放手术治疗食管癌的临床疗效,以及并发症,评价这两种手术的治疗效果及安全性。方法对我院2014年1月~2016年6月收治的258例食管癌手术患者为研究对象,对258例经已确诊为食管中段或者下段鳞癌患者,根据手术方式不同分为微创组和开放组,其中微创组82例,开放组为176例,对比分析两组患者的术后并发症:吻合口瘘、肺部感染生、转入ICU、切口感染以及术后心率失常的发生率,淋巴结清扫数目、术中出血量、以及住院时间。结果对两组患者的临床数据统计分析后,两组患者在吻合口瘘、转入ICU、切口感染、术后心律失常上无明显差异(P>0.05),无统计学意义;而在肺部感染、淋巴结清扫数目、术中出血量、术后住院时间上,微创组与开放组的差异明显(P<0.05),具有统计学意义。结论在围手术期的主要并发症上,微创手术与传统的开放手术没有明显区别,无统计学意义,而在近期疗效上具有明显优势,术后患者机体功能恢复更快,值得在临床上推广和应用。Objective Compared the minimally invasive surgery with the traditional open surgery in the treatment of esophageal cancer clinical efficacy, and complications, the evaluation of these two surgical treatment and safety. Methods A total of 258 patients with esophageal cancer who had been diagnosed as esophageal or inferior squamous cell carcinoma were treated in 258 patients with esophageal cancer from January 2014 to June 2016.According to the different surgical methods, the patients were divided into minimally invasive group and open group Group, 82 cases of minimally invasive group, open group of 176 cases, comparative analysis of the two groups of patients after surgery complications： anastomotic fistula, lung infection, into ICU, incision infection and postoperative heart rate disorders, Lymph node dissection, intraoperative bleeding, and hospital stay. Results There was no significant difference between the two groups （P〉0.05）, but there was no significant difference between the two groups （P〉0.05）, but there was no significant difference between the two groups （P〉0.05） （P〈0.05）, and there was significant difference between the minimally invasive group and the open group （P〈0.05）, and the number of lymph node dissection, intraoperative blood loss and postoperative hospital stay were statistically significant. Conclusion In the perioperative major complications, minimally invasive surgery and traditional open surgery is no significant difference, no statistically significant, and in the recent efficacy has obvious advantages, postoperative patients with fimctional recovery faster, it is worth to promote in clinical And application.

关 键 词：食管癌 微创手术治疗 开放手术治疗 

分 类 号：R735.1[医药卫生—肿瘤]