【摘要】 目的探讨小切口胸段食管癌根治术的临床效果以及应用价值。方法选取68例胸段食管癌患者的临床资料开展回顾性分析,依据治疗的不同方式将样本分为对照组33例与观察组35例。对照组患者接受常规的食管癌根治手术,观察组患者接受小切口胸段食管癌根治手术。观察2组患者的手术基本情况、淋巴结清除率以及术后情况,并进行比较与分析。结果观察组患者的手术时间为(178.7±42.9)min、总出血量为(417.9±50.7)ml、淋巴结清扫数目为(10.2±4.0)个、术后引流量为(399.4±65.8)ml、治疗总有效率为94.0%,与对照组比较,差异均未见统计学意义(P>0.05);观察组患者的切口长度为(13.1±1.1)cm、卧床时间为(4.1±1.3)d、肢体功能恢复时间为(8.3±0.9)d、镇痛药物服用时间为(47.8±5.2)h、术后并发症总发生率为30.3%,与对照组比较,差异均具有统计学意义(P<0.05)。结论针对胸段食管癌患者开展小切口胸段食管癌根治手术,不但可获得与传统食管癌根治手术相同的临床效果,而且能够更有效地改善患者术后状况,降低并发症的发生率,值得进一步推广与研究。更多还原

【Abstract】 Objective To investigate the clinical effect and application value of small incision radical resection of thoracic esophageal carcinoma. Methods Clinical data of 68 cases of thoracic esophageal cancer patients were retrospectively analyzed. Patients were divided into the control group with 33 cases and the observation group with 35 cases according to the different treatment. The control group received conventional radical operation of esophageal cancer,and the observation group received small incision radical resection of thoracic esophageal carcinoma. The basic situation,lymph node clearance rate and postoperative situation of the 2 groups were compared and analyzed. Results The operation time,the total amount of bleeding,the number of lymph node dissection,postoperative drainage volume and the total effective rate of the 2 groups had no statistical difference( P >0. 05). The length of incision,the time in bed,the limb function recovery time,analgesic drug taking time and incidence rate of postoperative complications of the oberservation group were significantly shorter than those of the control group,there had statistical difference( P < 0. 05). Conclusion Small incision radical resection of thoracic esophageal carcinoma can achieve similar clinical effect as the traditional radical resection of esophageal carcinoma. It can improve the postoperative situation more effectively,reduce the incidence of complications,and it is worthy of further promotion and research.更多还原