论文部分内容阅读
目的:比较微创手术(胸腹腔镜联合手术)与常规开胸手术用于食管癌患者的临床疗效和安全性。方法:以2013年5月至2016年12月为研究时段,选择此时间段内本院收治的食管癌患者作为研究对象,随机分为对照组和观察组各20例,对照组采用常规的开胸手术进行治疗,而观察组采用微创手术进行治疗,而后比较两组患者各项手术指标和术后并发症的发生率。结果:观察组患者术中出血量、淋巴结清扫数、住院时间等明显优于对照组,存在较大差异,具有统计学意义P<0.05。两组患者手术时间无较大差异,无统计学意义P>0.05。对照组并发症发生率为30%,观察组为5%,观察组明显低于对照组,存在显著差异,具有统计学意义P<0.05。结论:对于食管癌的患者,采用微创手术治疗可有效的减少术中出血量,并降低术后并发症的发生率,利于患者术后疾病的康复,临床效果显著,值得临床推广使用。
Objective: To compare the clinical efficacy and safety of minimally invasive surgery (thoraco-laparoscopic surgery) with conventional thoracotomy for patients with esophageal cancer. Methods: From May 2013 to December 2016 for the study period, we selected esophageal cancer patients admitted to our hospital as study subjects and randomly divided into control group and observation group of 20 cases each. The control group was treated with conventional open Thoracic surgery was performed, while the observation group was treated with minimally invasive surgery. Then the operation indexes and the incidence of postoperative complications were compared between the two groups. Results: The intraoperative blood loss, the number of lymph node dissection and hospital stay in observation group were significantly better than those in control group, with significant difference (P <0.05). There was no significant difference in the operation time between the two groups, with no statistical significance (P> 0.05). The incidence of complications in the control group was 30%, the observation group was 5%, the observation group was significantly lower than the control group, there were significant differences, with statistical significance P <0.05. Conclusion: For patients with esophageal cancer, minimally invasive surgery can effectively reduce the amount of intraoperative bleeding and reduce the incidence of postoperative complications, which is conducive to the rehabilitation of patients with postoperative disease, the clinical effect is significant, worthy of clinical promotion and use.