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目的研究电视纵隔镜在早期食管癌拔脱术和切除术的临床价值。方法自2005年10月~2006年6月应用电视纵隔镜为15例早期食管癌病人施行食管拔脱术和切除术,所有病例术前均经胃镜证实为鳞癌,钡餐及CT检查证实无明显外侵,纵隔内未见明显肿大淋巴结。所有病人均以电视纵隔镜游离食管后行食管-胃颈部吻合术。结果所有病人恢复良好。术后下床活动时间1~3d(平均2·5d),呼吸功能影响明显减轻,镇痛药用量减少。结论电视纵隔镜在早期食管癌病人中有非常高的临床应用价值。
Objective To study the clinical value of video mediastinoscopy in the treatment of early esophageal carcinoma. Methods From October 2005 to June 2006, 15 cases of early esophageal cancer underwent mediastinoscopy for esophagectomy and resection. All cases were confirmed by gastroscopy as squamous cell carcinoma before operation, and no significant difference was found between barium meal and CT examination Invasion, mediastinal no significant enlarged lymph nodes. All patients with TV mediastinal esophageal esophageal esophageal - gastric anastomosis. Results All patients recovered well. After getting out of bed activity time 1 ~ 3d (average 2.5 days), respiratory function significantly reduced the amount of analgesics decreased. Conclusion Video mediastinoscopy in patients with early esophageal cancer has a very high clinical value.