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目的总结胸腔镜食管癌手术的临床经验,探讨该手术在临床的应用价值。方法选择收治的156例食管癌患者,利用随机数字法将其均分成观察组与对照组,对照组的患者给予常规开放手术治疗,观察组的患者采用胸腔镜来对胸段食管进行游离,并对淋巴结进行清扫,然后行食管—胃颈部吻合术,对两组患者的治疗效果进行比较。结果两组患者的治疗效果、住院时间、手术时间以及术中出血量,淋巴结清扫数量及阳性率、术后肺部感染率、心律失常发生率比较差异有统计学意义(P<0.05)。结论术后疼痛轻、术中出血量少、手术时间短、安全可靠等优点,为食管癌外科治疗的首要选择。
Objective To summarize the clinical experience of thoracoscopic esophageal cancer surgery and explore its clinical value. Methods A total of 156 patients with esophageal cancer who underwent selective digital radiography were divided into the observation group and the control group. The patients in the control group were given conventional open surgery. The patients in the observation group were given thoracoscopy to separate the thoracic esophagus. Lymph nodes were dissected, and then esophageal-gastric anastomosis, the treatment effect of the two groups of patients were compared. Results The treatment effect, length of hospital stay, operation time, blood loss, number of lymph node dissection and positive rate, postoperative pulmonary infection rate and arrhythmia incidence were significantly different between the two groups (P <0.05). Conclusions Postoperative pain, less blood loss, short operative time, safe and reliable, the primary choice for surgical treatment of esophageal cancer.