经颈胸腹三切口根治手术治疗中上段食管癌的疗效和安全}生观察  

Radical surgery through cervical, thoracic, and abdominal incisions for middle and upper esophageal carcinoma

作　　者：商嵩山 

机构地区：[1]上蔡县人民医院肿瘤科,河南463800

出　　处：《国际医药卫生导报》2017年第21期3347-3349,共3页International Medicine and Health Guidance News

摘　　要：目的探讨经颈胸腹三切口根治手术治疗中上段食管癌的疗效和安全性。方法将2014年7月至2017年3月本院收治的60例中上段食管癌患者随机分为两组，各30例；对照组患者行左胸食管根治术，实验组患者行经颈胸腹三切口根治术，比较两组手术指标及并发症发生率。结果实验组手术时间与对照组相比，差异无统计学意义（P〉0．05）；实验组术中出血量、淋巴结清扫数目及术后引流量等指标均显著优于对照组，并发症发生率显著低于对照组，差异均有统计学意义（均P〈0．05）。结论经颈胸腹三切口根治手术是治疗中上段食管癌安全有效的方式，淋巴结清扫数目更多，安全性更高，值得推广。Objective To explore the efficacy and safety of radical surgery through cervical, thoracic, and abdominal incisions for middle and upper esophageal carcinoma. Methods 60 patients with middle and upper esophageal cancer treated at our hospital from July, 2014 to March, 2017 were randomly divided into a control group and an experimental group, 30 for each group. The control group were treated by radical surgery through left chest incision and the experimental group through cervical, thoracic, and abdominal incisions. The surgical indicators and the incidence of complications were compared between these two groups. Results There was no statistical differer.ce in operation time between these two groups （P 〉 0.05）. The bleeding volume, the cleaned lymph node number, the postoperative drainage volume, etc. were better and the incidence of complications was lower in the experimental group than in the control group, with statistical differences （all P 〈 0.05）. Conclusions Radical surgery through cervical, thoracic, and abdominal incisions for middle and upper esophageal carcinoma is effective and safe and can clean many lymph nodes, so it is worth being generalized.

关 键 词：经颈胸腹三切口根治术 中上段食管癌 临床疗效 安全性 

分 类 号：R735.1[医药卫生—肿瘤]