胸腔镜腹腔镜联合手术与开放手术治疗食管癌的同期临床对照研究(1)
[摘要] 目的 探討对食管癌患者采取胸腔经腹腔镜联合手术以及开放手术治疗的临床效果。 方法 便利抽取该院在2017年12月—2018年12月所接收的58例食管癌患者作为该次实验的研究主体，将其根据手术治疗的方法不同分为开放组和联合组，各组分别为29例患者。开放组采取传统的开放手术进行治疗，联合组采取胸腔镜腹腔镜联合手术进行治疗，收集、统计开放组和联合组患者的各项临床资料，并且进行两组手术情况、术后情况以及术后并发症发生几率等各项指标的对比。结果 联合组的术中出血量(185.36±15.54)mL，开放组为(321.42±34.05)mL，(t=19.576，P=0.000);联合组拔出胸管时间(4.42±1.25)d，开放组为(8.46±1.64)d(t=10.551，P=0.000);联合组术后住院时间(12.36±1.07)d，开放组为(18.99±3.45)d，(t=9.884，P=0.000)。开放组为6例(20.69%)，联合组术后并发症的发生几率显著低于开放组(χ2=4.062，P=0.044)，且对照均差异有统计学意义(P<0.05)。结论 对食管癌患者采取胸腔腹腔镜联合手术的方式进行治疗，能够减少术中出血量，在一定程度上缩短了拔出胸管时间以及住院时间，具有更高的安全性，更加值得临床的应用和推广。
, 百拇医药
[关键词] 胸腔镜;腹腔镜;联合手术;开放手术;食管癌患者
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2019)06(b)-0079-04
[Abstract] Objective To investigate the clinical effects of thoracoscopic laparoscopic surgery and open surgery for patients with esophageal cancer. Methods Convenient select a total of 58 patients with esophageal cancer who were admitted to our hospital from December 2017 to December 2018 were enrolled as the main subjects of this study. They were divided into open group and joint group according to different methods of surgical treatment， 29 patients each. The open group was treated with conventional open surgery. The combined group was treated with thoracoscopic laparoscopic surgery. The clinical data of the open group and the combined group were collected and counted， and the operation， postoperative condition and postoperative condition of the two groups were performed. Comparison of indicators such as the probability of complications. Results The intraoperative blood loss(185.36±15.54)mL in the combined group(321.42±34.05)mL in the open group(t=19.576， P=0.000); the combined group with the time of pulling out the chest tube (4.42±1.25)d， open group was (8.46±1.64)d(t=10.551， P=0.000); postoperative hospital stay time (12.36±1.07)d in the combined group， (18.99±3.45)d in the open group(t=9.884， P=0.000). The open group was 6 cases (20.69%). The incidence of postoperative complications was significantly lower in the combined group than in the open group(χ2=4.062， P=0.044)， and the， which was statistically significant(P<0.05). Conclusion The treatment of esophageal cancer patients with thoracoscopic laparoscopic surgery can reduce the amount of intraoperative blood loss， shorten the time of chest tube removal and hospitalization to a certain extent， and has higher safety and more worthy of clinical application and promotion., 百拇医药(肖海平)
, 百拇医药
[关键词] 胸腔镜;腹腔镜;联合手术;开放手术;食管癌患者
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2019)06(b)-0079-04
[Abstract] Objective To investigate the clinical effects of thoracoscopic laparoscopic surgery and open surgery for patients with esophageal cancer. Methods Convenient select a total of 58 patients with esophageal cancer who were admitted to our hospital from December 2017 to December 2018 were enrolled as the main subjects of this study. They were divided into open group and joint group according to different methods of surgical treatment， 29 patients each. The open group was treated with conventional open surgery. The combined group was treated with thoracoscopic laparoscopic surgery. The clinical data of the open group and the combined group were collected and counted， and the operation， postoperative condition and postoperative condition of the two groups were performed. Comparison of indicators such as the probability of complications. Results The intraoperative blood loss(185.36±15.54)mL in the combined group(321.42±34.05)mL in the open group(t=19.576， P=0.000); the combined group with the time of pulling out the chest tube (4.42±1.25)d， open group was (8.46±1.64)d(t=10.551， P=0.000); postoperative hospital stay time (12.36±1.07)d in the combined group， (18.99±3.45)d in the open group(t=9.884， P=0.000). The open group was 6 cases (20.69%). The incidence of postoperative complications was significantly lower in the combined group than in the open group(χ2=4.062， P=0.044)， and the， which was statistically significant(P<0.05). Conclusion The treatment of esophageal cancer patients with thoracoscopic laparoscopic surgery can reduce the amount of intraoperative blood loss， shorten the time of chest tube removal and hospitalization to a certain extent， and has higher safety and more worthy of clinical application and promotion., 百拇医药(肖海平)