摘要
目的比较经左胸小切口配合管状胃与常规开胸食管癌切除术的临床疗效。方法将2008年7月～2012年8月入住本院的80例食管癌患者按照抽签法分为对照组与观察组。对照组给予常规Sweet开胸切除术,观察组给予经左胸小切口配合管状胃切除术。比较两组开胸出血量、手术时间、胸腔引流量、心肺并发症、切缘残留、住院时间及VAS疼痛评分。结果观察组开胸出血量、手术时间、胸腔引流量、心肺并发症发生率、切缘残留率、住院时间等均明显优于对照组(P<0.05);观察组VAS疼痛优良率(92.50%)明显高于对照组(60.00%)(P<0.01)。结论经左胸小切口配合管状胃切除术治疗食管癌,疗效显著,值得临床推广应用。
Objective To compare the clinical efficacy of left chest small incision with gastric tube thoracotomy resection of carcinoma of esophagus. Methods 80 cases with esophageal cancer in our and conventional hospital from July 2008 to August 2012 were randomly divided into control group and observation group according to the draw method. The control group was given conventional sweet thoracotomy resection,and the observation group was treated with left thoracic small incision with tubular gastrectomy.The operation time,bleeding volume,drainage volume,cardiac and pul- monary complications,residual,hospitalization time and VAS pain score were compared. Results Observation group open thoracic blood loss,operation time,chest drainage,complications of lung and heart rate,retention rate and length of hospital stay were significantly less than those of control group （P〈0.05）;The VAS pain was （92.50%）,the observation group was obviously higher than that of control group （60.00%） （P〈0.01）. Conclusion The left chest small incision with tubular gastrectomy esophageal cancer treatment,the curative effect is remarkable,worthy clinical application.
出处
《中国当代医药》
2013年第25期41-42,共2页
China Modern Medicine
