全胸腔镜手术与传统手术治疗早期食管癌患者的临床效果对比  

Comparison of Clinical Effects Between Total Thoracoscopic Surgery and Traditional Surgery in the Treatment of Early Esophageal Cancer Patients

作　　者：陈海生 杨长刚 吴斌 陆松华 CHEN Haisheng;YANG Changgang;WU Bin;LU Songhua(Department of Thoracic Surgery,Hai'an People's Hospital,Nantong,Jiangsu,226600,China)

机构地区：[1]海安市人民医院胸外科,江苏南通226600

出　　处：《中外医疗》2024年第32期54-57,共4页China & Foreign Medical Treatment

摘　　要：目的研究早期食管癌患者采取全胸腔镜术式、传统手术方式的效果。方法随机选取2020年1月—2023年12月海安市人民医院收治的140例早期食管癌患者为研究对象,根据不同手术方法分为对照组(100例)和观察组(40例)。观察组以全胸腔镜术式治疗,对照组以传统手术方式治疗。对比两组的随访预后情况、手术相关指标、并发症发生情况及生活质量。结果两组随访预后情况中复发率、转移率和病死率对比,差异无统计学意义(P均>0.05)。观察组的手术时间(132.63±23.79)min、术中出血量(169.56±30.42)mL、引流管留置时间(2.86±0.69)d、住院时间(11.61±3.16)d均优于对照组的(176.45±24.36)min、(249.85±31.82)mL、(4.76±1.13)d、(14.64±2.87)d,差异有统计学意义(t=9.679、13.654、9.908、5.481,P均<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。术后,两组生活质量评分高于治疗前,观察组生活质量评分高于对照组,差异有统计学意义(P均<0.05)。结论早期食管癌患者采取全胸腔镜手术以及传统手术均具有良好的随访预后,但全胸腔镜手术的并发症、术中出血量等更少,置管时间及住院时间等更短,患者的生活质量更优。Objective To study the effect of total thoracoscopic surgery and traditional surgery in patients with early esophageal cancer.Methods A total of 140 patients with early esophageal cancer admitted to Hai'an People's Hospital from January 2020 to December 2023 were randomly selected as the research objects.According to different surgical methods,they were divided into control group(100 cases)and observation group(40 cases).The observation group was treated with total thoracoscopic surgery,and the control group was treated with traditional surgery.The follow-up prognosis,surgical related indicators,complications and quality of life were compared between the two groups.Results There was no significant difference in recurrence rate,metastasis rate and mortality between the two groups(all P>0.05).The operation time(132.63±23.79)min,intraoperative blood loss(169.56±30.42)mL,drainage tube indwelling time(2.86±0.69)d and hospitalization time(11.61±3.16)d in the observation group were better than those in the control group(176.45±24.36)min,(249.85±31.82)mL,(4.76±1.13)d and(14.64±2.87)d,the differences were statistically significant(t=9.679,13.654,9.908,5.481,all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After operation,the quality of life scores of the two groups were higher than those before treatment,and the quality of life scores of the observation group were higher than those of the control group,the differences were statistically significant(all P<0.05).Conclusion Both total thoracoscopic surgery and traditional surgery for patients with early esophageal cancer have good follow-up prognosis,but total thoracoscopic surgery has fewer complications,less intraoperative blood loss,shorter catheterization time and hospitalization time,and better quality of life.

关 键 词：早期食管癌 全胸腔镜手术 传统手术 随访预后 并发症 生活质量 

分 类 号：R735.1[医药卫生—肿瘤]