论文部分内容阅读
目的:分析胸腹腔镜联合手术在食道癌患者中的应用价值。方法:将98例食道癌患者随机分为对照组和试验组,各49例。对照组使用常规开胸治疗,试验组治疗方案为胸腹腔镜联合手术,比较治疗期间术中出血量、术后引流量和淋巴清扫量等手术情况及术后恢复期间并发症发生率,并随访一年记录死亡情况。结果:试验组出血量、术后引流量都明显降低,住院时间显著缩短,淋巴清扫数目多于对照组;肺部感染几乎没有,总病发症情况低至2.04%;组间比较,差异均具有统计学意义(P<0.05)。两组吻合口瘘、胃排空延迟情况及1年内死亡率比较,差异无统计学意义(P>0.05)。结论:胸腹腔镜联合手术可有效降低传统手术对机体的损伤,具有良好的临床应用价值。
Objective: To analyze the value of thoracic and laparoscopic combined surgery in esophageal cancer patients. Methods: 98 cases of esophageal cancer were randomly divided into control group and experimental group, 49 cases each. The control group was treated by conventional thoracotomy. The treatment group was thoraco-laparoscopic combined with surgery. The intraoperative blood loss, postoperative drainage volume and lymphatic drainage volume were compared between the two groups. The complication rates during follow-up were compared between the two groups One year record of death. Results: The amount of bleeding and postoperative drainage in experimental group were significantly decreased, the hospitalization time was significantly shortened, and the number of lymph node dissection was more than that in control group. There was almost no pulmonary infection and the total morbidity was as low as 2.04% Statistically significant (P <0.05). There was no significant difference between the two groups in anastomotic fistula, delayed gastric emptying and 1-year mortality (P> 0.05). Conclusion: Combined thoraco-laparoscopic surgery can effectively reduce the damage of the traditional surgery on the body, and has good clinical value.