胸腔镜辅助下与开放式食管癌根治术的综合临床疗效对比  

Comprehensive clinical efficacy comparison of thoracoscopic assisted and open radical resection of esophageal carcinoma

作　　者：常绘文[1] 张亚军[1] 宋建祥[1] 施展[1] 

机构地区：[1]东南大学医学院附属盐城医院心胸外科,江苏盐城224001

出　　处：《中国当代医药》2018年第2期50-52,共3页China Modern Medicine

摘　　要：目的比较胸腔镜辅助下与开放式食管癌根治术的综合临床疗效。方法选取2014年5月~2017年5月本院确诊收治的62例食管癌患者作为研究对象,将其按随机数字表法分为研究组和参照组,每组31例。参照组患者采用传统开放式食管癌根治术进行治疗,研究患者行胸腔镜辅助下食管癌根治术手术进行治疗。比较两组患者的手术时间、住院时间、术中淋巴结清扫数目和出血量,术后24 h引流量、36 h胸部疼痛程度以及术后并发症发生情况。结果两组患者的手术时间和淋巴结清扫数差异无统计学意义(P>0.05)。研究组患者的住院时间明显短于参照组,术中出血量、术后24 h引流量明显少于参照组,术后36 h胸部疼痛评分明显低于参照组,差异有统计学意义(P<0.05)。研究组患者术后并发症发生率显著低于参照组(P<0.05)。结论在胸腔镜辅助下行食管癌根治术,创伤小,出血量少,术后恢复快,能有效降低患者术后并发症发生率,与开放式食管癌根治术比较,优势更明显,值得临床广泛推广应用。Objective To compre the comprehensive clinical efficacy of thoracoscopic assisted and open radical resection of esophageal carcinoma.Methods From May 2014 to May 2017,62 patients with esophageal cancer diagnosed and treated in our hospital were selected as object,and they were divided into the study group （n=31） and reference group （n=31） according to the random number table method.The patients in the reference group were treated with traditional open radical resection of esophageal cancer, and the patients in the study group were treated with thoracoseopic assisted radical resection of esophageal carcinoma.The operation time,the length of stay,the number of lymph node dissection and the amount of bleeding during operation,the drainage volume of after 24 h operation,the degree of chest pain after 36 h operation,and the incidence of postoperative complications were compared between the two groups.Results There was no significant difference of the operation time and the number of lymph node dissection in patients between the two groups （P〉0.05）.The length of stay in patients of the study group was significantly shorter than that in the reference group,the amount of bleeding during operation,the drainage volume of after 24 h operation in patients of the study group were significantly fewer than those of the control group,the chest pain score after 36 h operation in patients of the study group was significantly lower than that in the reference group,and there was a statistical difference （P〈0.05）.Conclusion thoraeoseopic assisted and open radical resection of esophageal carcinoma has＇a characteristics of small trauma,few bleeding amount,faster postoperative recovery,and can effectively reduce the incidence of postoperative complications, compared with open radical operation of esophageal cancer,the advantages are more obvious,and it is worthy of widely promotion and application in clinic.

关 键 词：胸腔镜 食管癌根治术 临床疗效 

分 类 号：R735.1[医药卫生—肿瘤]