胸腹腔镜微创手术治疗食管癌对患者术后疼痛及肺功能的影响  

Effect of thoracoscopic and laparoscopic minimally invasive surgery on postoperative pain and pulmonary function in patients with esophageal cancer

作　　者：张喜平[1] Zhang Xiping(Department of Cardiothoracic Surgery,Tanghe People＇s Hospital,Nanyang 473400,China)

机构地区：[1]唐河县人民医院心胸外科,南阳473400

出　　处：《国际医药卫生导报》2018年第22期3474-3476,共3页International Medicine and Health Guidance News

摘　　要：目的观察胸腹腔镜微创手术治疗食管癌对患者术后疼痛及肺功能的影响.方法将2017年1至12月本院治疗的106例食管癌患者作为研究对象,将其运用随机数表法分为两组,各53例.观察组行胸腹腔镜微创手术,对照组行常规开放手术.观察两组手术情况、手术前后肺功能指标变化情况、并发症发生率与术后疼痛程度等.结果观察组手术时间（236.31±59.84）min,高于对照组（181.57±28.91）min,术中出血量、住院时间、视觉模拟评分法（VAS）分别为（198.73±53.69）ml、（5.35±1.67）d、（2.08±1.03）分均低于对照组,差异均有统计学意义（均P 〈0.05）;并发症发生率7.55%低于对照组22.64%,差异均有统计学意义（均P 〈0.05）;术前,两组用力肺活量（FVC）、1 s用力呼气容积（FEV1）比较,差异均无统计学意义（均P 〉0.05）;术后,观察组FVC、FEV1 水平分别为（2.15±0.23）L、（1.83±0.25）L,均高于对照组,差异均有统计学意义（均P 〈0.05）.结论胸腹腔镜微创手术为食管癌治疗中安全且有效术式,手术创伤小,且术后并发症少,利于减轻患者术后疼痛,加快肺功能康复.Objective To observe the effect of thoracoscopic and laparoscopic minimally invasive surgery on postoperative pain and pulmonary function in patients with esophageal cancer. Methods 106 patients with esophageal cancer treated at our hospital from January to December, 2017 were selected, and were divided into an observation group and a control group by random number table, 53 cases for each group. The observation group were treated by thoracoscopic and laparoscopic minimally invasive surgery, while control group by routine open surgery. The surgical conditions, changes of pulmonary function indicators, incidence of complications, and postoperative pain degree in the two groups were observed. Results The operation time was longer, the intraoperative bleeding volume, score of visual analogue scale （VAS）, and incidence of complications were lower, and the hospital stay was shorter in observation group than in control group, with statistical differences （all P 〈 0.05）. Before the surgeries, there were no statistical differences in the forced vital capacity （FVC） and forced expiratory volume in one second （FEV1） between the two groups （both P 〉 0.05）; after the surgeries, the FVC and FEV1 were higher in the observation group than in the control group （both P〈 0.05）. Conclusion Thoracoscopic and laparoscopic minimally invasive surgery in the treatment of esophageal cancer is safe and effective, has small trauma and few postoperative complications, and can reduce postoperative pain and accelerate pulmonary functio recovery n.

关 键 词：食管癌 胸腹腔镜微创手术 常规开放手术 术后疼痛 肺功能 并发症 

分 类 号：R735.1[医药卫生—肿瘤]