72例小切口胸段食管癌根治术在胸段食管癌治疗中的临床效果观察

Observation on Clinical Effect of Mini-incision Thoracic Esophageal Carcinoma Radical Mastectomy Treating 72 Cases with Thoracic Esophageal Carcinoma

目的对72例小切口胸段食管癌根治术在胸段食管癌治疗中的临床效果进行观察。方法资料选自2012年4月至2013年4月在我院救治的胸段食管癌患者144例。将所有患者随机分为研究组和对照组,每组各为72例。两组患者均予以术前放射治疗,对照组在此基础上予以常规食管癌根治术,研究组予以小切口食管癌根治术,分析两组患者的相应手术指标和并发症发生情况。结果研究组上肢功能的恢复时间和术后镇痛药物的应用时间,均小于对照组,两组数据的比较差异具有统计学意义(P<0.05);分析两组患者的并发症发生情况,研究组的发生率为13.89%,明显低于对照组的31.94%,两组数据的比较差异具有统计学意义(P<0.05)。结论予以胸段食管癌患者小切口胸段食管癌根治术治疗,疗效显著,且并发症较少,值得在临床广泛应用。

Objective To observe the clinical effect of mini-incision thoracic esophageal carcinoma radical mastectomy treating 72 cases with thoracic esophageal carcinoma.Methods 144 cases with thoracic esophageal carcinoma treated in our hospital from April 2012 to April 2013 were selected and divided into two groups randomly, the research group and the control group, each group for 72 cases. The patients received radiosurgery before operation, based on which the control group received conventional esophageal cancer radical mastectomy, and the research group received mini-incision thoracic esophageal carcinoma radical mastectomy. The operation indicators and complications of two groups were analyzed.Results The recovery time of upper extremity function and application time of analgesics after operation in the research group was evidently less than that in the control group, which had statistical signiifcance（P〈0.05）. For the complications, the incidence rate of the research group was 13.89%, and that of the control group was 31.94%. The difference between two groups had statistical signiifcance（P〈0.05）.Conclusion Mini-incision thoracic esophageal carcinoma radical mastectomy treating patients with thoracic esophageal carcinoma has evident efifcacy and fewer complications, which is worthy of clinical application.