摘要
目的探讨小切口胸段食管癌根治术治疗食管癌的效果。方法选取我院2017年1月-2019年5月收治的38例食管癌患者作为研究对象,按照随机数字表法分为对照组和观察组各19例。对照组行常规食管癌根治术,观察组行小切口胸段食管癌根治术,比较2组患者手术及术后情况、并发症发生率。结果观察组患者除手术切口长度明显小于对照组外(P<0.01),手术时间、术中出血量以及淋巴结清扫数量均与对照组无明显差异(P>0.05)。观察组患者下床时间、恢复正常饮食时间以及停用镇痛药物时间均显著短于对照组,差异具有统计学意义(P<0.05)。观察组患者术后并发症发生率为5.26%,虽然低于对照组的31.58%,但差异无统计学意义(P>0.05)。结论小切口胸段食管癌根治术治疗食管癌具有伤口小、恢复快、并发症发生率低的优势,临床应用价值高。
Objective To investigate the effect of small incision thoracic esophagectomy for esophageal cancer.Methods 38 cases of patients with esophageal cancer admitted to our hospital from January 2017 to May 2019 were selected as the research objects,according to the random number method,they were divided into control group and observation group,19 cases in each group.The control group were given routine radical esophagectomy,while the observation group were given small incision thoracic esophageal cancer radical operation.The general condition of operation,the situation after operation and the occurrence of complications were compared between the two groups.Results The length of incision in the observation group was significantly shorter than that in the control group(P<0.01).There were no significant differences in the operation time,intraoperative bleeding and lymph node dissection between the two groups(P>0.05).The time of getting out of bed,restoring normal diet and stopping analgesics in the observation group were significantly shorter than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was 5.26%,which was lower than 31.58%in the control group,but the difference was not statistically significant(P>0.05).Conclusion Small incision thoracic esophagectomy has a high clinical value in the treatment of esophageal cancer,with advantages of small wound,fast recovery and low incidence of complications.
作者
韩锋
Han Feng(The People's Hospital of Xiaoxian County,Xiaoxian,Anhui 235200)
出处
《基层医学论坛》
2020年第2期161-162,共2页
The Medical Forum
关键词
食管癌
小切口胸段食管癌根治术
常规食管癌根治术
临床对比
Esophageal cancer
Radical resection of thoracic
esophageal cancer with small incision Conventional radical esophagectomy
Effect observation
