摘要
目的:比较胸腔镜与传统开胸行食管癌根治术患者术后肺部感染发生的影响。方法:选取2016年1月—2019年5月间医院收治的实施食管癌根治术患者128例资料,按手术方式的不同将其分为VATS组53例和OPEN组75例;VATS组患者实施胸腔镜食管癌根治术治疗,OPEN组患者实施开胸食管癌根治术(包含左后外侧切口、胸腹两切口和颈胸腹三切口)治疗;比较两组患者术后肺部感染的发病率差异,以及不同手术方式相关变量值的差异。结果:VATS组患者术后肺部感染发病率(1.89%)低于OPEN组(12.00%)(χ^2=3.120,P<0.05),手术中各变量值均低于OPEN组(P<0.05)。结论:采用胸腔镜技术行食管癌根治术的患者术后并发肺部感染的风险低于传统开胸术,显著降低了术后并发肺部感染的风险。
Objective: To compare the influence of different surgical methods on postoperative pulmonary infection in patients with esophageal carcinoma. Methods: The data of 128 cases of patients undergoing radical resection of esophageal cancer admitted to hospitals from January 2016 to May 2019 were selected and divided into 53 cases in the VATS group and 75 cases in the OPEN group based on different surgical methods. Patients in the VATS group were treated by thoracoscopic radical resection of esophageal carcinoma, while patients in the OPEN group were treated by thoracotomy (such as left posterolateral incision, thoracoabdominal incision and cervicothoracoabdominal incision). The differences of postoperative pulmonary infection incidence between the two groups were compared, as well as the differences of the values of variables related to different surgical methods were also compared. Results: The incidence of postoperative pulmonary infection in the VATS group was lower (1.89%) than that in the OPEN group (12.00%)(χ^2= 3.120, P<0.05), and all the variables were lower than those in the OPEN group (P<0.05). Conclusion: The risk of pulmonary infection after radical resection of esophageal carcinoma by thoracoscopy was lower than that after traditional thoracotomy, which significantly reduced the risk of pulmonary infection after surgery.
作者
王一飞
朱雪娟
段善州
杨文涛
桑永华
陈勇兵
WANG Yi-fei;ZHU Xue-juan;DUAN Shan-zhou;YANG Wen-tao;SANG Yong-hua;CHEN Yong-bing(Department of Thoracic Surgery, The No. 2 Hospital Affiliated to Suzhou University, Suzhou Jiangsu 215004, China)
出处
《抗感染药学》
2019年第6期994-996,共3页
Anti-infection Pharmacy
基金
苏州市重点学科基金项目(编号:SZXK201803)
苏州市胸部肿瘤重点实验室基金项目
苏州市护理学会护理科研课题基金项目(编号:2019B2)
关键词
胸腔镜根治术
传统开胸术
食管癌
肺部感染
thoracoscopy
traditional thoracotomy
esophageal carcinoma
pulmonary infection
