【摘要】 目的比较胸腔镜McKeown食管癌根治术与传统开胸食管癌根治术的临床效果。方法 90例食管癌患者根据治疗方法不同分为试验组与对照组。试验组采用胸腔镜McKeown食管癌根治术治疗,对照组采用开胸食管癌根治术治疗。比较两组手术情况,右上肢功能恢复情况,术后疼痛情况,术后并发症发生情况。结果试验组术中出血量、住院时间、胸腔引流时间显著少于对照组,差异有统计学意义(P<0.05)。试验组右上肢功能恢复情况及疼痛情况显著优于对照组,差异有统计学意义(P<0.05)。试验组呼吸系统并发症发生率、房颤发生率显著低于对照组,差异有统计学意义(P<0.05)。结论胸腔镜Mckeown食管癌根治术手术情况、术后并发症发生情况及疼痛情况显著优于开胸食管癌根治术,值得临床推广应用。更多还原

【Abstract】 Objective To compare the clinical effect of thoracoscope Mc Keown esophagectomy and traditional thoracotomy in radical esophageal cancer. Methods 90 cases of esophageal cancer patients divided into experimental group and control group according to different treatments. Experimental group used by thoracoscope Mc Keown esophagectomy,control group adopts traditional thoracotomy radical esophagectomy. Compare two groups of operation situation of right upper limb function recovery,postoperative pain,postoperative complications. Results The intraoperative blood loss,hospital stay,the chest drainage time was significantly less than the control group( P<0. 05). The experimental group right upper limb function recovery and the pain was significantly better than control group( P<0. 05). Experimental group of respiratory complications,the incidence of atrial fibrillation was significantly lower than the control group,difference has statistical significance( P<0. 05). Conclusion Thoracoscope Mc Keown esophagectomy postoperative complications and the pain was significantly better than open esophageal cancer radical,worthy of clinical popularization and application.更多还原