经左胸小切口配合管状胃切除术治疗食管癌58例的的疗效观察.docVIP

经左胸小切口配合管状胃切除术治疗食管癌58例的的疗效观察 　　【摘要】 目的：研究经左胸小切口配合管状胃切除术治疗食管癌的临床疗效。方法：选取2011年4月-2014年5月笔者所在医院收治的胸段食管癌患者114例，随机分为试验组和对照组。试验组患者给予经左胸小切口配合管状胃切除术，对照组则采取常规开胸切除术。手术治疗结束后对比两组患者术中出血量、手术时间、术后胸腔引流量、住院时间、VAS疼痛评分以及术后并发症发生情况。结果：试验组患者的术中出血量、术后胸腔引流量、住院时间以及VAS评分上均显著优于对照组患者，差异均有统计学意义（P0.05）；手术后试验组术后并发症少于对照组，差异有统计学意义（P0.05）。结论：经左胸小切口配合管状胃切除术治疗食管癌的临床治疗效果突出，显著降低手术创伤，术后并发症少，有助于患者术后恢复，值得临床推广应用。 　　【关键词】 经左胸小切口； 管状胃切除术； 食管癌 　　中图分类号 R735.1 文献标识码 A 文章编号 1674-6805（2015）6-0008-03 　　【Abstract】 Objective：To study the clinical efficacy of the left chest small incision with tubular gastrectomy in the treatment of esophageal cancer.Method：114 cases with thoracic esophageal carcinoma were randomly divided into the experimental group and the control group.The experimental group was treated with a small incision through the chest tube gastrectomy，the control group was treated with conventional thoracotomy surgery.After the treatment，the blood loss，operative time，postoperative chest drainage，length of hospital stay，VAS pain score and postoperative complications occurred of the two groups were compared.Result：The blood loss，postoperative chest drainage，the length of hospital stay and VAS pain score in the experimental group were significantly better than those in the control group（P0.05）.Postoperative complications occurred in the experimental group was significantly better than the control group（P0.05）.Conclusion：The clinical efficacy of the left chest small incision with tubular gastrectomy in esophageal cancer is outstanding，it can significantly reduce surgical trauma，the postoperative complications is less，it is conducive to postoperative recovery and worth of promotion. 　　【Key words】 Small incision； Tubular gastrectomy； Esophageal cancer 　　First-author’s address：The People’s Hospital of Shucheng，Shucheng 231300，China 　　doi：10.14033/j.cnki.cfmr.2015.06.004 　　食管癌是常见的消化道肿瘤，发病年龄多在40岁以上，且男多于女，我国每年因食管癌平均病死约15万人，每年发病人数约25万人，死亡率和发病率居世界第一[1-2]。目前研究提出食管癌病因与生物性病因、化学病因、食管癌遗传易感因素、缺乏某些微量元素以及烟、酒、热食、热饮、口腔不