【摘要】 目的:探讨食管癌胸腔镜手术临床的效果。方法:选取本院2010.5~2012.5期间收治的90例食管癌患者为研究对象,随机分为观察组45例(采用全胸腔镜的手术方法),对照组45例(采用传统手术方法),回顾性分析和比较两组手术方法的临床效果。结果:两组胸部手术时间、淋巴结清扫数目比较存在显著差异,t=3.17,2.72,P<0.05,术中出血量、术后第一天引流量、术后胸引流管保留时间、胸部切口疼痛、右上肢功能恢复比较P<0.001,提示两组疗效存在显著差异性,有统计学意义。随访1~5个月,所有患者均生存良好。结论:胸腔镜手术疗效显著好于传统手术,值得临床推广应用。更多还原

【Abstract】 Objective:To investigate the effect of thoracoscopic operation for esophageal carcinoma.Methods:90 cases of patients with esophageal carcinoma during 2010.5 ~ 2012.5 in our hospital were selected and randomly divided into an observation group with 45 cases(the total thoracoscope surgical method) and a control group with 45 cases(the traditional surgical method).The clinical effects of two groups were retrospectively analyzed and compared.Results:Chest surgery duration time and number of lymph node cleaning of the two groups had significant differences,t = 3.17,2.72,P< 0.05,intraoperative blood loss,postoperative flow on the first day,the retention time of postoperative chest drainage tube,chest incision pain,right upper limb functional recovery were compared P<0.001.The differences between two groups were significant with statistical significance.All patients were in good conditions followed by 1 to 5 months.Conclusion:Curative effect of thoracoscope surgery is significantly better than that of traditional surgery and it is worthy of clinical promotion and application.更多还原