食管胸段癌运用传统开胸手术与电视辅助胸腔镜手术治疗效果分析  

Analysis of the Effect of Esophageal Chest Cancer Treated by Traditional Thoracotomy and Tonic-assisted Thoracic Surgery

作　　者：梁敏[1] LIANG Min.(Affiliated Hospital of Chuanbei Medical College,Nanchong,63700)

机构地区：[1]川北医学院附属医院,637000

出　　处：《实用癌症杂志》2018年第10期1644-1647,共4页The Practical Journal of Cancer

摘　　要：目的对比分析传统开胸手术与电视辅助胸腔镜手术在食管胸段癌治疗中的效果。方法选取行手术治疗食管胸段癌患者共320例,根据采用的手术方法不同分为观察组(电视辅助胸腔镜手术)和对照组(传统开胸术)。对比2组手术指标(手术用时、胸腔引流量、术中出血量、淋巴结清扫个数)和住院时间。经随访1年,对比2组平均随访时间、复发及转移率、放疗率、化疗率和术后生存率、2年生存率;对比2组患者并发症发生率;对比2组术后6个月生活质量评估表(QLQ-C30)和卡氏体能状态评估表(KPS)总分。结果观察组手术用时较对照组短,胸腔引流量及术中出血量均较对照组少,淋巴结清扫个数较对照组多,住院时间较对照组短;观察组并发症发生率(9. 17%)较对照组(21. 50%)低;观察组QLQ-C30及KPS分值均高于对照组(P <0. 05)。2组随访时间、复发及转移率、放疗率、化疗率、术后生存率、2年生存率均无统计学差异(P> 0. 05)。结论与传统开胸术相比,电视辅助胸腔镜手术用于食管胸段癌治疗创伤小、并发症少、安全性高,利于术后患者体能恢复及生活质量改善。Objective To compare the effect of traditional thoracotomy and tonic-assisted thoracoscopic surgery in the treatment of esophageal chest cancer. Methods 320 patients with thoracic cancer who underwent surgical treatment were divided into the observation group（TV-assisted thoracoscopic surgery） and the control group（traditional thoracotomy） according to the different surgical methods.Comparison of the 2 groups of surgical indicators（surgery,chest drainage,intraoperative blood loss,the number of lymph node dissection） and hospital stay.The patients were followed up for 1 year,the average follow-up time,recurrence and metastasis rate,radiotherapy rate,chemotherapy rate,postoperative survival rate and 2-year survival rate were compared in the 2 groups,and the incidence of complications in the 2 groups was compared.The score of quality of life（QLQ-C30） and the stonability test table（KPS） were compared. Results The operation time of the observation group was shorter than the control group,the thoracic drainage and intraoperative blood loss were less than the control group,the number of lymph node dissection was more than that of the control group,the hospital stay was shorter than the control group;The incidence of complications in the observation group（9.17%） was lower than that of the control group（21.50%）;QLQ-C30 and KPS scores in the observation group were higher than those of the control group（ P〈0.05）.There were no significant differences in follow-up time,recurrence and metastasis rate,radiotherapy rate,chemotherapy rate,postoperative survival rate and 2-year survival rate between the 2 groups（ P〉0.05）. Conclusion Compared with traditional thoracotomy,TV-assisted thoracoscopic surgery has the advantages of less trauma,less complication and high safety for esophageal thoracic carcinoma,which is beneficial to the improvement of physical and quality of life.

关 键 词：电视辅助胸腔镜 食管胸段癌 开胸术 并发症 生活质量 

分 类 号：R735.1[医药卫生—肿瘤]