摘要
目的探讨二孔法电视胸腔镜手术(VATS)联合超声内镜(EUS)治疗食管平滑肌瘤的微创性和实用性。方法于2007年2月-2012年2月采用不同术式治疗食管平滑肌瘤患者166例,其中,62例应用传统常规开胸手术治疗(A组),49例采用传统三孔法VATS手术治疗(B组),55例采用二孔法VATS联合EUS治疗(C组);3组患者年龄、性别、病变位置及起源层次、病变大小等数据指标比较差异无统计学意义(P>0.05)。总结3组的临床指标并进行比较。结果 C组与A组出血量、手术时间、术中定位情况、术后切口疼痛情况、住院费用、住院时间、禁食时间、肺部感染及随访并发症等数据指标比较差异有统计学意义(P<0.05);C组与B组出血量、手术时间、术中定位情况、禁食时间、住院时间、住院费用及随访并发症等数据指标比较差异有统计学意义(P<0.05)。结论二孔法VATS联合EUS治疗食管平滑肌瘤具有微创、安全、彻底、并发症少等优点,值得临床推广。
Objective To explore the minimal invasiveness and practability of combined video-assisted thoracic surgery（VATS） with two trocars and endoscopic ultrasonography（EUS） in the treatment of esophageal leiomyoma.Methods Between February 2007 and February 2012,we retrospectively analysed the clinical data of 166 patients who underwent various surgeries for the treatment of esophageal leiomyoma.Among them,62 received routine thoracotomy（group A）,49 accepted conventional VATS surgery with three trocars（group B）,and 55 underwent combined VATS surgery with two trocars and EUS（group C）.Then,we summarized the clinical indexes of patients in all the three groups for further comparative analysis.Results There was no signii cant dif erence among the three groups in age,gender,and lesion location,origin level and size（P 〈0.05）.There were signii cant dif erences between group A and C in blood loss,surgery time,intraoperative localization,postoperative incision pain,hospitalization expenses,length of hospital stay,fasting time,pulmonary infection,and the complications during the follow-up（P 〉0.05）.There were signii cant dif erences between group C and B in blood loss,surgery time,intraoperative localization,fasting time and pulmonary infection（P 〈0.05）.Conclusion Combined VATS surgery with two trocars and EUS is safe,minimally invasive,thorough with few complications,which is worthy of clinical promotion.
出处
《华西医学》
CAS
2016年第4期663-666,共4页
West China Medical Journal
关键词
二孔法
电视胸腔镜手术
超声内镜
食管平滑肌瘤
Two trocars
Video-assisted thoracoscopic surgery
Endoscopic ultrasonography
Esophageal leiomyoma
