【摘要】 目的探讨胸腔镜手术与开胸手术两种治疗食管癌的手术方式的临床效果和安全性。方法采用随机法抽取我院收治的食管癌患者48例,作为本次探究报告中的观察对象,并均分成两组,实验组和对照组各24例患者,对照组采用传统开胸手术进行治疗,实验组采用胸腔镜手术进行治疗,在治疗结束后对比两组临床治疗效果。结果实验组的手术时间要略长于对照组,但是在手术出血量、术后住院时间、胸液引流量等手术指标上的情况都要比对照组好很多,而且二者数值的差异具有统计学意义,即P<0.05。除此之外,两组患者在术后并发症的发生率、术后的转移率和死亡率等情况上的比较显示差异无统计学意义,P>0.05。结论胸腔镜在治疗食管癌上的临床效果显著,安全可靠,而且手术的创伤也小,在手术结束后恢复速度要快于传统开胸手术治疗,同时还能减少术中出血量,促进胃肠道的基本功能的恢复,是一种值得临床广泛应用的治疗食管癌的手术方式。更多还原

【Abstract】 Objective To investigate the clinical efficacy and safety of two kinds of surgical methods for the treatment of esophageal carcinoma with thoracoscopic surgery and thoracotomy.Methods 48 cases of esophageal cancer treated by random method in our hospital,as the observation subjects in this study report,were divided into two groups,the experimental group and the control group each 24 patients,the control group used the traditional thoracotomy for treatment,the experimental group was treated with thoracoscopic surgery,after the treatment of two groups of clinical treatment effect.Results The operation time of the experimental group was longer than that of the control group,but the surgical parameters such as the amount of bleeding,postoperative hospitalization time and the flow of pleural effusion were much better than those in the control group,and the difference of the two values was statistically significant,namely P<0.05.In addition,the incidence of postoperative complications,postoperative metastasis and mortality of the two groups showed no statistically significant difference,P>0.05.Conclusion The clinical effect of thoracoscope in the treatment of esophageal cancer is remarkable,safe and reliable,and the surgical trauma is small,at the end of surgery to recover faster than the traditional thoracotomy,but also reduce intraoperative bleeding,promote gastrointestinal basic function of recovery,is a widely used clinical treatment of esophageal cancer surgery.更多还原