胸腹腔镜和开胸治疗对早期食管癌中远期临床预后的影响  

The Effect of Thoracoscopy and Thoracotomy on the Long-term Clinical Prognosis of Early Esophageal Cancer

作　　者：谷爽[1] 

机构地区：[1]吉林省人民医院胸外科,吉林长春132001

出　　处：《中国继续医学教育》2017年第36期63-64,共2页China Continuing Medical Education

摘　　要：目的胸腹腔镜和开胸治疗对早期食管癌中远期临床预后的影响比较。方法选取我院收治的110例早期食管癌患者作为研究对象。按照随机分组原则,将患者随机平分为两组。对照组55例,采用传统开胸手术治疗;观察组55例,采用胸腹腔镜治疗。对比两组患者的临床疗效。结果观察组患者手术时间较对照组明显延长,差异具有统计学意义(P<0.05);但观察组患者术中出血量、胸液引流时间及住院时间均优于对照组,差异具有统计学意义(P<0.05);观察组患者并发症发生率较对照组有所下降,但组间对比,差异无统计学意义(P>0.05);随访1、3、5年,两组生存率比较,差异均无统计学意义(P>0.05)。结论采用胸腹腔镜对早期食管癌患者进行治的创伤性较小,且恢复快。Objective To compare the long-term clinical prognosis of thoracic laparoscopy and thoracotomy for early esophageal cancer. Methods A total of 110 patients with early esophageal cancer who were treated in our hospital were selected as the study objects and they were randomly divided into two groups according to the principle of randomization. 55 cases in the control group were treated with traditional thoracotomy. 55 cases in the observation group were treated with thoracic laparoscopy. The clinical effcacy of two groups of patients was compared. Results The operative time of the observation group was signifcantly longer than that of the control group, and the difference was statistically significant （P 〈 0.05）. However, the amount of bleeding, the drainage time of thoracic fuid and the time of hospitalization in the observation group were all better than those in the control group, and the difference was statistically signifcant （P 〈 0.05）. The incidence of complications in the observation group was lower than that in the control group, but there was no signifcant difference between the groups （P 〉 0.05）. After 1, 3 and 5 years of follow-up, there was no significant difference in the survival rate of the two groups （P 〉 0.05）. Conclusion Laparoscopic laparoscopic treatment of early esophageal cancer patients with less traumatic and faster recovery.

关 键 词：胸腹腔镜 开胸 早期食管癌 并发症 

分 类 号：R735[医药卫生—肿瘤]