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目的探究胸腹腔镜联合手术与传统开胸手术治疗食管癌(ECA)的近期疗效。方法 66例食管癌患者随机数表法分组,各33例。研究组采用胸腹腔镜联合手术,对照组采用传统开胸手术,6个月后随访。对比两组围术期相关指标水平、手术前后用力肺活量(FVC)、第1秒用力呼气量占预测值百分比(FEV1)、动脉血氧饱和度(Sa O2)及动脉血氧分压(Pa O2)水平,并发症发生情况。结果研究组手术用时、术中失血量、术后引流时间、开始进食时间、住院时间少于对照组(P<0.05);术后研究组FEV1、FEV1/FVC及Sa O2、Pa O2水平均高于对照组(P<0.05);并发症发生率(15.15%)低于对照组(39.39%)(P<0.05)。结论胸腹腔镜联合手术治疗食管癌近期疗效优于传统开胸手术,且安全性较高。
Objective To explore the short-term curative effect of thoracic-laparoscopic combined surgery and traditional thoracotomy for the treatment of esophageal cancer (ECA). Methods Sixty-six patients with esophageal cancer were divided into three groups according to random number table. The study group using thoraco-laparoscopic surgery, the control group with conventional thoracotomy, 6 months after follow-up. The levels of perioperative indicators, FVC, FEV1, Sa O2 and Pa (Pa) were compared between the two groups O2) levels, the incidence of complications. Results The operation time, intraoperative blood loss, postoperative drainage time, starting time for eating and hospital stay were less than those in the control group (P <0.05). The FEV1, FEV1 / FVC, Sa O2 and Pa O2 levels were significantly higher in the study group In the control group (P <0.05). The complication rate (15.15%) was lower than that in the control group (39.39%) (P <0.05). Conclusion The combined effect of thoraco-laparoscopy and surgical treatment of esophageal cancer is superior to the traditional thoracotomy in short-term efficacy and safety.