小切口与标准后胸切口开胸治疗食管癌的效果对比  

Effects comparison of small incision and standard posterior thoracic incision thoracotomy in the treatment of esophageal cancer

作　　者：余祖国 YU Zu-guo(No.2 Surgery Department, Traditional Chinese Medicine Hospital of Xixiang County, Hanzhong 723500, Chin)

机构地区：[1]陕西省西乡县中医院外二科,陕西汉中723500

出　　处：《临床医学研究与实践》2018年第14期63-64,共2页Clinical Research and Practice

摘　　要：目的探讨小切口与标准后胸切口开胸治疗食管癌的临床效果。方法将我院收治的食管癌患者120例按照手术方式不同分为对照组和研究组,各60例。对照组应用标准后胸切口开胸术治疗,研究组应用小切口胸段食管癌根治术治疗。比较两组患者的临床效果。结果两组患者的并发症发生情况比较,差异无统计学意义(P>0.05)。与对照组比较,研究组手术切口长度及胸腔引流时间更短,术中出血量更少,VAS评分更低(P<0.05)。结论与标准后胸切口开胸手术相比,小切口胸段食管癌根治术治疗食管癌的临床效果更佳。Objective To investigate the clinical effects of small incisi on and standard posterior thoracic incision thoracotomy in the treatment of esophageal cancer. Methods A total of 120 esophageal cancer patients admitted in our hospital were selected and divided into control group and study group according to different surgery methods, with 60 cases in each group. The control group was given standard posterior thoracic incision thoracotomy treatment, and the study group was treated with small incision thoracic esophageal cancer radical surgery. The clinical effects of the two groups were compared. Results There was no significant difference in the incidence of complications between the two groups（P〈0.05）.Compared with the control group, there were shorter length of operative incision and time of thoracic drainage, less intraoperative blood loss and lower VAS score in the study group（P〈0.05）. Conclusion Compared with standard posterior thoracic incision thoracotomy, small incision thoracic esophageal cancer radical surgery has better clinical effect in the treatment of esophageal cancer.

关 键 词：标准后胸切口开胸术 食管癌 VAS评分 

分 类 号：R735.1[医药卫生—肿瘤]