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目的:观察小切口和标准后胸切口开胸治疗食道癌的临床效果。方法:资料随机选取2013年3月-2014年3月本院诊治的96例食道癌择期手术患者,按照随机数字表法分为两组,对照组48例患者予以标准后胸切口开胸术治疗,研究组48例患者予以小切口术治疗,分析两组患者围手术期临床指标、并发症等预后情况。结果:研究组患者术中时间、出血量、术后引流量、引流管留置时间及住院时间均明显少于对照组,比较差异均具统计学意义(P<0.05);研究组患者治疗后并发症发生率6.25%(3/48)与对照组10.42%(5/48)例比较差异不明显,无统计学意义(P>0.05)。结论:小切口切除术治疗食道癌的临床效果显著,有效减少患者的手术时间及术中出血量,加快患者术后恢复速度。
Objective: To observe the clinical effect of small incision and standard thoracotomy for esophageal cancer. Methods: A total of 96 patients with esophageal cancer undergoing elective surgery in our hospital from March 2013 to March 2014 were randomly selected and divided into two groups according to the random number table. 48 patients in the control group received standard thoracotomy for thoracotomy. , 48 patients in the study group were treated with small incision, and the prognosis of the two groups were analyzed in terms of clinical indexes and complications. Results: The time of operation, the amount of bleeding, the amount of postoperative drainage, the drainage time and the length of stay in the study group were significantly less than those in the control group (P <0.05). The patients in the study group were complicated after treatment The incidence of disease was 6.25% (3/48) compared with 10.42% (5/48) in the control group. There was no significant difference between the two groups (P> 0.05). Conclusion: The small incision resection for the treatment of esophageal cancer has a significant clinical effect, effectively reducing the patient’s operation time and intraoperative blood loss, speed up the recovery rate of patients.