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目的研究胸腹腔镜联合食管胸段癌根治术在胸段食管癌治疗中的临床疗效。方法回顾性分析2014年1月至2015年10月我院胸段食管癌患者65例,根据随机数字表法,分为2组,胸腹腔镜联合组和小切口组。胸腹腔镜联合组行颈胸腹腔镜联合手术;小切口组行小切口胸段食管癌根治术。就两组患者手术耗时、手术切口、术中出血、淋巴结清扫数目、术后引流总量、卧床时间和术后并发症发生情况进行比较。结果胸腹腔镜联合组术后并发症发生情况低于小切口组,c2检验显示P<0.05。胸腹腔镜联合组患者手术耗时、淋巴结清扫数目跟小切口组相似,t检验显示P>0.05。胸腹腔镜联合组患者手术切口、术中出血、术后引流总量、卧床时间均少于小切口组,t检验显示P<0.05。结论小颈胸腹腔镜联合手术和小切口胸段食管癌根治术一样可有效清扫淋巴结,但其应用效果更确切,可减轻创伤和出血,减少术后引流量,缩短卧床时间,减少并发症的发生,对患者术后康复有益,值得推广。
Objective To study the clinical effect of thoracic and laparoscopic combined with esophageal thoracic cancer radical resection in the treatment of thoracic esophageal cancer. Methods 65 patients with thoracic esophageal cancer from January 2014 to October 2015 were retrospectively analyzed. According to the random number table, they were divided into two groups, thoraco-laparoscopic combined group and small incision group. Thoraco-laparoscopic combined group of cervical and laparoscopic surgery; small incision group of small incision thoracic esophageal cancer radical surgery. The time, surgical incision, intraoperative bleeding, the number of lymph node dissection, the total amount of postoperative drainage, bed rest time and postoperative complications were compared between the two groups. Results The incidence of postoperative complications in thoracic and laparoscopic group was lower than that in small incision group, c2 test showed P <0.05. Patients in the thoraco-laparoscopic group had time-consuming surgery and similar numbers of lymph node dissections as in the small incision group. The t-test showed that P> 0.05. Thoraco-laparoscopic surgery combined with surgical incision, intraoperative bleeding, postoperative drainage, bed time were less than the small incision group, t test showed P <0.05. Conclusions Small neck thoracotomy combined with small incision thoracic esophagectomy is effective for lymph node dissection, but its application effect is more exact, which can reduce the trauma and bleeding, reduce the amount of postoperative drainage, reduce the time of bed rest and reduce the complications Occurrence of postoperative rehabilitation of patients useful, it is worth promoting.