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目的评价小切口胸段食管癌根治术应用于胸段食管癌临床治疗的效果。方法随机于我院2013年3月至2016年1月接收的胸段食管癌患者中选取90例,并均分为常规组与观察组,其中常规组患者给予传统的切口食管癌根治手术,观察组患者给予小切口胸段食管癌根治术,记录对比两组患者手术所用时间、术中患者出血量及淋巴结的清扫情况,术后观察患者并发症的发生状况,统计患者术后卧床时间,统一进行对比分析。结果实验数据显示:两组患者手术实施过程中,患者手术时间、淋巴结清扫数目、术中出血状况及患者出血量几乎无差异,P>0.05;观察组患者术后手术切口明显短于常规组患者,患者手术后卧床时间、给予镇痛药镇痛时间、上肢恢复功能时间均相较于常规组有所缩短,P<0.5,具有统计学意义;患者术后引流量两组并无较大差异;统计两组患者术后并发症的发生状况,常规组患者并发症发生率为31.1%,而观察组患者的并发症发生率为13.3%,两组数据差异明显。经统计学检验后,P<0.05,具有意义。结论小切口胸段食管癌根治术应用于胸段食管癌临床治疗效果理想,患者身体损伤小,预后恢复快,并发症发病率低,患者术后生活质量相较提升,值得临床的大力推广。
Objective To evaluate the clinical effect of small incision thoracic esophageal cancer radical mastectomy on thoracic esophageal cancer. Methods Totally 90 patients with thoracic esophageal cancer who were admitted to our hospital from March 2013 to January 2016 were randomly divided into routine group and observation group. The patients in conventional group received conventional radical resection of esophageal cancer, Group patients were given small incision thoracic esophageal cancer radical surgery, the time of surgery compared with the two groups were recorded, the amount of bleeding during surgery and lymph node dissection, postoperative observation of patients with complications, statistics of patients after bed rest time, unified For comparative analysis. Results The experimental data showed that there was almost no difference between the two groups in operation time, the number of lymph node dissection, intraoperative bleeding and the amount of bleeding in the two groups (P> 0.05). The surgical incision in the observation group was significantly shorter than that in the conventional group , The patient’s bed time after operation, analgesic analgesic time, upper limb recovery time were shorter than the conventional group, P <0.5, with statistical significance; postoperative drainage volume in patients with no significant difference between the two groups The incidence of postoperative complications in both groups was statistically analyzed. The incidence of complications in the conventional group was 31.1%, while the incidence of complications in the observation group was 13.3%. There was significant difference between the two groups. After statistical test, P <0.05, meaningful. Conclusion Small incision thoracic esophageal cancer radical resection applied to the thoracic esophageal cancer clinical treatment effect is ideal, patients with small body injuries, rapid recovery of prognosis, the incidence of complications is low, the quality of life of patients compared to enhance, worth the promotion of clinical efforts.