分析胸腹腔镜联合食管癌切除并左侧颈部吻合术治疗食管癌的临床效果  

Analysis of the Clinical Effect of Combined Thoracic Laparoscopy and Esophageal Cancer Resection with Left Cervical Anastomosis for Esophageal Cancer

作　　者：高文闯 顾云[1] 施乃明 郑成远 GAO Wenchuang;GU Yun;SHI Naiming;ZHENG Chengyuan(Department of Thoracic Surgery,Lianshui County People's Hospital,Lianshui,Jiangsu Province,223400 China)

机构地区：[1]涟水县人民医院胸外科,江苏涟水223400

出　　处：《中外医疗》2023年第14期76-79,共4页China & Foreign Medical Treatment

基　　金：淮安市卫生健康研究项目-面上项目(HAWJ202030)。

摘　　要：目的探讨在食管癌患者治疗中以胸腹腔镜与食管癌切除并左侧颈部吻合术联合治疗的效果。方法方便选择2020年1月—2022年4月在涟水县人民医院治疗的食管癌患者58例为研究对象,以随机数表法分为两组,各29例。对照组行腹腔镜下食管癌胸腔内吻合术,观察组提供腹腔镜与食管癌切除并左侧颈部吻合术。比较两组手术指标、并发症和生活质量情况。结果观察组术中失血量、禁食时间、住院时间分别(241.85±135.38)mL、(8.16±2.04)d、(14.69±3.54)d显著低于对照组,差异有统计学意义(t=3.647、4.919、7.487,P<0.05)。观察组手术用时(249.51±30.87)min,与对照组比较,差异无统计学意义(t=0.289,P>0.05)。观察组并发症发生率为6.90%低于对照组的31.03%,差异有统计学意义(χ^(2)=5.479,P<0.05)。观察组生理功能、生理职能、躯体疼痛、总体健康、生命活力、社会功能、情感职能以及心理健康得分为(84.28±2.55)分、(82.65±3.04)分、(87.18±2.23)分、(81.50±2.15)分、(86.15±4.71)分、(85.28±4.55)分、(85.08±3.13)分、(86.65±3.04)分,显著高于对照组,差异有统计学意义(t=6.696、4.266、10.191、8.949、7.006、5.870、6.979、7.523,P<0.05)。结论以胸腹腔镜下食管癌切除术并左侧颈部吻合术进行治疗,既能缩短治疗时间,减少并发症发生风险,还能提升生活质量。Objective To explore the effect of combined thoracic laparoscopy and esophageal cancer resection with left cervical anastomosis in the treatment of esophageal cancer patients.Methods A total of 58 patients with esophageal cancer who were treated in Lianshui County People's Hospital from January 2020 to April 2022 were conveniently selected as the research objects and divided into two groups with 29 cases in each group by random number table method.The control group received laparoscopic intrathoracic anastomosis for esophageal cancer,and the observation group received laparoscopic resection of esophageal cancer and left neck anastomosis.Surgical indicators,complications and quality of life were compared between the two groups.Results The intraoperative blood loss,fasting time and hospital stay in the observation group were(241.85±135.38)mL,(8.16±2.04)d and(14.69±3.54)d,respectively,which were significantly lower than those in the control group,the difference was statistically significant(t=3.647,4.919,7.487,P<0.05).The operation time of observation group was(249.51±30.87)min,compared with control group,the difference was not statistically significant(t=0.289,P>0.05).The incidence of complications in the observation group was 6.90%,lower than 31.03%in the control group,the difference was statistically significant(χ^(2)=5.479,P<0.05).The scores of physiological function,physiological function,physical pain,general health,vital vitality,social function,emotional function and mental health in the observation group were(84.28±2.55)points,(82.65±3.04)points,(87.18±2.23)points,(81.50±2.15)points,(86.15±4.71)points,(85.28±4.55)points,(85.08±3.13)points,(86.65±3.04)points,significantly higher than the control group,the difference was statistically significant(t=6.696,4.266,10.191,8.949,7.006,5.870,6.979,7.523,P<0.05).Conclusion The treatment with thoracic laparoscopic esophagectomy and left neck anastomosis can not only shorten the treatment time,reduce the risk of complications,but also improve the quality o

关 键 词：食管癌 胸腹腔镜 左侧颈部吻合术 并发症 

分 类 号：R543[医药卫生—心血管疾病]