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目的对比分析经胸骨后径路消化道重建的食管癌胸腔镜手术与开放手术治疗食管癌的临床效果。方法 66例食管癌患者为研究对象,根据手术方法的不同分成对照组(行开放手术治疗)及观察组(行经胸骨后径路消化道重建的食管癌胸腔镜手术治疗),各33例。对两组患者术后胸引流量、并发症发生率及住院时间予以对比。结果观察组术后胸引流量(381.0±42.3)ml少于对照组的(592.1±44.7)ml,差异具有统计学意义(t=19.705,P=0.000<0.05)。观察组并发症发生率6.1%低于对照组的24.2%,差异具有统计学意义(P<0.05)。观察组住院时间(7.1±2.5)d短于对照组的(11.9±2.7)d,差异具有统计学意义(t=7.494,P=0.000<0.05)。结论在食管癌患者治疗中,经胸骨后径路消化道重建的胸腔镜手术的临床效果较好,术后并发症较少,恢复较快,可在临床治疗中广泛应用与推广。
Objective To compare and analyze the clinical effect of trans-sternal reconstruction of esophageal carcinoma undergoing thoracoscope surgery and open surgery for esophageal cancer. Methods Sixty-six patients with esophageal cancer were divided into control group (open surgery) and observation group (esophageal thoracoscopic surgery after reconstruction of the sternum after gastrointestinal tract reconstruction) according to the method of operation. Postoperative chest drainage, complication rates and hospital stay were compared between the two groups. Results The postoperative thoracic drainage (381.0 ± 42.3) ml in the observation group was less than that in the control group (592.1 ± 44.7) ml, the difference was statistically significant (t = 19.705, P = 0.000 <0.05). The incidence of complications in the observation group was lower than 6.1% in the control group (24.2%, P <0.05). The length of hospital stay in observation group (7.1 ± 2.5) d was shorter than that in control group (11.9 ± 2.7) d, the difference was statistically significant (t = 7.494, P = 0.000 <0.05). Conclusions In the treatment of patients with esophageal cancer, thoracoscopic surgery through the reconstruction of the thoracic pathological tract has good clinical effect, less postoperative complications and rapid recovery, which can be widely used and promoted in clinical treatment.