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目的:探讨小切口胸段食管癌根治术在胸段食管癌治疗中的临床疗效。方法:选择胸段食管癌患者90例,随机分为观察组(小切口胸段食管癌根治术治疗)和对照组(传统手术治疗)各45例,观察两组的手术切口长度、手术时间、术中出血量、胸腔引流量、肺部并发症、术后卧床时间。结果:观察组的手术切口长度、肺部并发症发生率、术后卧床时间分别为(12.6±3.5)cm、4.4%、(3.5±1.1)d,明显低于对照组的(27.1±3.4)cm、15.6%、(5.7±1.4)d,差异均有统计学意义(P<0.05);观察组的手术时间、术中出血量、胸腔引流量分别为(150.4±32.1)min、(451.3±72.1)mL、(443.1±32.4)mL,与对照组的(156.3±34.5)min、(463.1±75.1)mL、(458.7±41.2)mL比较,差异均无统计学意义(P>0.05)。结论:小切口胸段食管癌根治术在胸段食管癌治疗中安全、有效,是可靠的治疗方式。
Objective: To investigate the clinical effect of small incision thoracic esophagectomy in the treatment of thoracic esophageal cancer. Methods: 90 patients with thoracic esophageal cancer were selected and randomly divided into observation group (small incision thoracic esophageal cancer radical operation) and control group (conventional surgical treatment) 45 cases each. The operative incision length, operative time, Intraoperative blood loss, chest drainage, pulmonary complications, postoperative bed rest. Results: The operative incision length, the incidence of pulmonary complications and the bed rest time in the observation group were (12.6 ± 3.5) cm, 4.4% and (3.5 ± 1.1) d respectively, which were significantly lower than those in the control group (27.1 ± 3.4) cm, 15.6%, and 5.7 ± 1.4 d, respectively (P <0.05). The operation time, intraoperative blood loss and thoracic drainage in the observation group were (150.4 ± 32.1) min and (451.3 ± 72.3 and 441.1 ± 32.4 mL, respectively. There was no significant difference between the two groups (P> 0.05). The difference was statistically significant (156.3 ± 34.5) min, (463.1 ± 75.1) mL and (458.7 ± 41.2) mL. Conclusion: Small incision thoracic esophageal cancer radical surgery in the thoracic esophageal cancer treatment is safe and effective, is a reliable treatment.