摘要
目的:研究胸腹腔镜微创治疗食管癌患者临床疗效,为临床治疗提供借鉴。方法:选取2019年2月~2021年2月本院收治的91例食管癌患者为研究对象,基于入院顺序将其分为对照组和观察组,分别采用开胸手术治疗和胸腹腔镜微创手术治疗。观察两组患者治疗前后的肺功能指标、各项临床指标以及术后并发症发生率。结果:治疗前两组患者各项肺功能指标比较均无显著差异(P>0.05),治疗后观察组各项肺功能指标均显著高于对照组(P<0.05)。观察组术中出血量和胸腔总引流量均显著低于对照组(P<0.05);观察组术后监护时间和术后住院时间均显著低于对照组(P<0.05);观察组患者总并发症发生率为6.52%,显著低于对照组的28.89%。结论:胸腹腔镜微创治疗食管癌患者,可以显著提升治疗效果,有助于患者早日康复。
Objective:To study the clinical efficacy of thoracoscopic and laparoscopic minimally invasive treatment of esophageal cancer,and to provide reference for clinical treatment.Methods:91 patients with esophageal cancer treated in our hospital from February 2019 to February 2021 were selected as the research object.Based on the admission order,they were divided into control group and observation group,which were treated with thoracotomy and thoracoscopic laparoscopic minimally invasive surgery respectively.The pulmonary function indexes,clinical indexes and the incidence of postoperative complications were observed before and after treatment.Results:Before treatment,there was no significant difference in the indexes of pulmonary function between the two groups(P>0.05).After treatment,the indexes of pulmonary function in the study group were significantly higher than those in the control group(P<0.05).The amount of intraoperative bleeding and total thoracic drainage in the observation group were significantly lower than those in the control group(P<0.05).The postoperative monitoring time and postoperative hospital stay in the observation group were significantly lower than those in the control group(P<0.05).The total complication rate in the observation group was 6.52%,significantly lower than 28.89%in the control group.Conclusion:Thoracoscopic and laparoscopic minimally invasive treatment of esophageal cancer patients can significantly improve the treatment effect and help the patients recover as soon as possible.
作者
姚孟鑫
YAO Meng-xin(PKU Care CNOOC Hospital,Tianjin,,Tianjin 300450)
出处
《中国医疗器械信息》
2023年第8期55-57,共3页
China Medical Device Information
关键词
胸腔镜
腹腔镜
开胸手术
食管癌
thoracoscopy
laparoscope
thoracotomy
esophageal cancer
