早中期食管癌患者采用胸腔镜辅助小切口食管癌根治术对术后并发症术后恢复影响.docVIP

早中期食管癌患者采用胸腔镜辅助小切口食管癌根治术对术后并发症术后恢复影响 　　【摘要】 目的 探讨早中期食管癌患者采用胸腔镜辅助小切口食管癌根治术对术后并发症、术后恢复的影响。方法 60例早中期食管癌患者， 随机分为观察组和对照组， 各30例。观察组患者采取胸腔镜辅助小切口手术， 对照组患者采取传统开腹手术。比较两组临床治疗效果。结果 对照组手术时间为（153.02±40.62）min， 观察组手术时间为（151.77±32.85）min， 比较差异无统计学意义（P0.05）；观察组术中出血量、术后引流量、住院时间、下床活动时间分别为（198.65±72.88）ml、（178.15±50.73）ml、（5.62±1.48）d、（4.89±1.96）d， 均优于对照组的（296.58±139.54）ml、（251.21±28.54）ml、（9.89±2.01）d、（8.98±2.45）d， 差异均有统计学意义（P0.05）；对照组并发症发生率为33.33%高于观察组的10.00%， 差异具有统计学意义 （χ2=4.812， P0.05）。结论 胸腔镜辅助小切口食管癌根治术治疗早中期食管癌患者疗效显著， 可降低患者术后并发症的发生率， 有利于患者早期恢复， 值得在临床上推广。 　　【关键词】 早中期食管癌；胸腔镜；小切口食管癌根治术 　　DOI：10.14163/j.cnki.11-5547/r.2016.32.021 　　【Abstract】 Objective To investigate influence by thoracoscope-assisted small incision radical surgery for esophageal cancer on postoperative complications and rehabilitation in early and middle stage esophageal cancer patients. Methods A total of 60 patients with early and middle stage esophageal cancer were randomly divided into observation group and control group， with 30 cases in each group. The observation group received thoracoscope-assisted small surgery， and the control group received conventional laparotomy. Clinical effects were compared between the two groups. Results The control group had operation time as （153.02±40.62） min， which was （151.77±32.85） min in the observation group， and the difference had no statistical significance （P0.05）. The observation group had intraoperative bleeding volume， postoperative drainage volume， hospital stay time and off-bed activity time respectively as （198.65±72.88） ml， （178.15±50.73） ml， （5.62±1.48） d and （4.89±1.96） d， which were all better than （296.58±139.54） ml， （251.21±28.54） ml， （9.89±2.01） d and （8.98±2.45） d in the control group， and their differences all had statistical significance （P0.05）. The control group had higher incidence of complications as 33.33% than 10.00% in the observation group. Their difference had statistical significance （χ2=4.812， P0.05）. Conclusion Thoracoscope-assisted small in