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目的分析全腔镜下三野淋巴结清扫术应用于食管癌的疗效。方法 75例采用全腔镜下三野淋巴结清扫术治疗的食管癌患者作为观察组,71例采用颈、胸、腹三切口开放食管癌三野淋巴结清扫术治疗的食管癌患者作为对照组,对比两组患者的手术相关指标、并发症发生情况。结果观察组手术时间(171.0±12.6)min、术中出血量(81.0±2.7)ml、住院时间(9.1±0.7)d、淋巴结清扫数(23.8±5.6)个、留置胸管时间(3.1±1.2)d、止痛药使用时间(2.6±0.2)d、并发症发生率5.33%均优于对照组的(263.0±35.7)min、(204.0±3.8)ml、(13.9±1.9)d、(17.3±3.4)个、(4.9±1.5)d、(5.7±0.8)d、21.13%,差异均具有统计学意义(P<0.05)。结论全腔镜下三野淋巴结清扫术用于食管癌的治疗中安全、有效,值得临床治疗推广使用。
Objective To analyze the curative effect of three-node lymphadenectomy under endoscopy on esophageal cancer. Methods Seventy-five patients with esophageal cancer who underwent endoscopic lymphadenectomy under endoscopy were selected as the observation group, and 71 patients with esophageal cancer underwent three-node lymphadenectomy with cervical, thoracic and abdominal incision. The control group was compared with the two groups The patient’s surgery-related indicators, complications occurred. Results The operative time (171.0 ± 12.6) min, blood loss (81.0 ± 2.7) ml, hospitalization time (9.1 ± 0.7) d, lymph node dissection (23.8 ± 5.6) and indwelling chest tube time (3.1 ± 1.2 ), the duration of analgesic use was (2.6 ± 0.2) d, the incidence of complications was 5.33%, which was significantly higher than that of the control group (263.0 ± 35.7) min, (204.0 ± 3.8) ml, (13.9 ± 1.9) d and 3.4) months, (4.9 ± 1.5) days, (5.7 ± 0.8) days and 21.13% respectively. The differences were statistically significant (P <0.05). Conclusions Three endoscopic lymphadenectomy under endoscopy is safe and effective in the treatment of esophageal cancer, which is worth to be popularized by clinical treatment.