电视胸、腹腔镜联合手术治疗食管癌效果分析.docVIP

精品论文 参考文献 电视胸、腹腔镜联合手术治疗食管癌效果分析 谢鹏飞 樊怿辉 张春荣 　　（南通大学附属肿瘤医院胸外科 226361） 　　【摘 要】目的：研究和分析电视胸、腹腔镜联合手术治疗食管癌的效果。方法：选取了2013年4月2015年4月期间在本院接受治疗的食管癌患者92例作为临床治疗研究的对象，并将患者随机分为观察组46例和对照组46例。观察组采用电视胸、腹腔镜联合手术治疗的方式，对照组采用传统的开胸手术治疗方式，对比两组患者的术中出血量、住院时间、手术后的并发症状发生情况以及患者术后舒适度。结果：观察组患者手术平均出血量为（263.32plusmn;42.31）mL，平均住院时间为（12.56plusmn;2.12）d，术后舒适度评分为（2.47plusmn;1.27）分；术后1例患者出现肺部感染，1例患者出现吻合口瘘，并发症状的发生几率为6.25%。对照组患者手术平均出血量为（375.87plusmn;43.92）mL，平均住院时间为（16.52plusmn;2.72）d，术后舒适度评分为（6.45plusmn;4.39）分；术后2例患者出现肺部感染，3例患者出现吻合口瘘，1例患者出现喉返神经损伤，并发症状的发生几率为18.75%。观察组患者在术中出血量、术后康复时间、术后舒适度以及术后并发症状的发生几率方面均优于对照组的患者，两组之间的差异对比具有统计学意义（P＜0.05）。结论：电视胸、腹腔镜联合手术治疗食管癌的效果更优，疗效显著，能够降低患者术后出血量，使患者更快速的得以康复，值得在临床治疗中广泛推广和应用。 　　【关键词】电视胸、腹腔镜；手术治疗；食管癌 　　Effects analysis of television laparoscopic thoracic combine with surgery treatment in esophageal carcinoma 　　Objective: To study and analyze the effects of television laparoscopic thoracic combine with surgery treatment in esophageal carcinoma. Methods: From April 2013 to April 2013 treated in our hospital during the period of 92 cases of esophageal cancer patients for clinical research, and 46 cases of patients were randomly divided into observation group and control group in 46 cases. Observation group USES the TV chest and joint laparoscopic surgery way, control group adopts the traditional way of open heart surgery, compared two groups of patients with intraoperative blood loss, hospital stay, postoperative complication occurrence and postoperative patients with comfort. Results: the observation group of patients with surgery average blood loss was (263.32plusmn;42.31) mL, average hospitalization time was (12.56plusmn;2.12), d (2.47plusmn;1.27) for postoperative comfort score points. 1 case of patients with postoperative pulmonary infection, 1 case of anastomotic fistula patients, the risk of complication was 6.25%. Control group patients with average blood loss was (375.87plusmn;43.92) mL, average hospitalization time was (16.52plusmn;2.72), d (6.45plusmn;4.39) for p