小切口和标准后胸切口开胸治疗食道癌随机对照研究

A Small Incision and Standard Chest Thoracotomy Incision Treatment of Esophageal Cancer :a Randomized Trial

目的：随机对照研究小切口和标准后胸切口开胸治疗食道癌的临床效果。方法选择2004年1月～2015年1月我院收治的56例食道癌患者作为研究对象，根据不同治疗手术方法，把56例患者随机均分为对照组与观察组。观察两组患者的手术效果、手术时间及术中出血量、胸引管日引流量、胸引管留置时间、镇痛泵的留置时间等进行对照分析。结果两组患者手术疗效差异无统计学意义（P〉0.05）；两组患者手术时间、术中出血量、术后胸引管日引流量及胸引管留置时间、镇痛泵留置时间等对比差异具有统计学意义（P〈0.05）。结论小切口和标准后胸切口开胸治疗食道癌随机对照研究发现，两种不同的手术方式在手术疗效上并没有差异，不过小切口开胸术手术时间短、术中出血量少，而且术后胸引管与镇痛泵的留置时间、住院时间短。

ObjectiveTo evaluate the clinical effect of smal incision and standard chest incision thoracotomy for the treatment of esophageal cancer.Methods Between January 2004 and January 2015,the 56 cases of esophageal cancer patients in our hospital as the research object,according to the different treatment methods,56 cases were divided into control group and observation group in random. To observe the surgical effect of two groups of patients, operative time and intraoperative blood loss,chest tube,led traffic,chest tube indweling time,comparing the indweling time of analgesia pump analysis. Results No difference between the two groups of patients with surgical curative effect,no statistical significance（P〉 0.05）. Two groups of operation time,intraoperative blood loss,postoperative patients with chest tube,led traffic and chest tube indweling time and analgesia pump indweling time comparison difference to be markedly,with statistical significance（P〈 0.05）.Conclusion Two different ways of operation on the surgical curative effect and no significant difference,but smal incision thoracotomy surgical operation time is short,less intraoperative blood loss,and postoperative chest tube and analgesia pump the indweling time,shorter hospitalization time.