摘要
目的探讨小切口与标准后胸切口开胸治疗食道癌的效果。方法将同期收治的94例食道癌患者按手术方式的不同设立对照组与观察组,通过观察两组患者手术效果、手术时间、术中出血量、术后胸引管日引流量、术后胸引管留置时间、术后镇痛泵留置时间,平均住院时间等进行统计学处理和分析。结果两组患者手术疗效比较不具有统计学意义(P>0.05),而两组手术时间,术中出血量、术后胸引管日引流量、术后胸引管留置时间、术后镇痛泵留置时间和平均住院时间等比较具有统计学意义(P<0.05)。结论小切口与标准后胸切口开胸治疗食道癌在手术疗效上无明显差异,但小切口开胸手术时间短、术中及术后出血量少、术后胸引管及镇痛泵留置时间短、平均住院时间短、术后术侧肩关节及上肢活动障碍程度轻,值得临床推广。
Objectlve To observe the effectiveness of esophagus cancer＇ s treatment by small incision and standard chest incision. Methods A total of 94 esophagus cancer patients enrolled in the same period were divided into control group and observation group, depending on the time and different operative methods, and then the surgical effects, operation time, perioperative bleeding volume, the amount of postoperative chest lead tube flow everyday, postoperative chest lead tube lien time, postoperative analgesia pump time and the average hospital stays were analyzed. Results There was no statistical significance between the two groups in the surgical effects （ P 〉 0.05 ）, but.the operation time, peri-operative bleeding volume, the amount of postoperative chest lead tube flow everyday, postoperative chest lead tube lien time, postoperative analgesia pump time, the average hospital stays had significant differences （P 〈 0.05 ）. Conclusion There is no obvious difference in the surgical effects of esophagus cancer treated by small incision and standard chest incision, but the operation time, bleeding volume of preoperative and postoperative, the amount of postoperative chest lead tube flow everyday and the chest postoperative analgesia pump time are less, the average hospital stays is shorter, postoperative shoulder and upper limb activity impediment degree is slight, which is worthy of clinic application.
出处
《安徽医药》
CAS
2012年第9期1305-1306,共2页
Anhui Medical and Pharmaceutical Journal
关键词
食道癌
贲门癌
小切口
esophagus cancer
cardiac cancer
small incision
