胸骨后径路消化道重建的食管癌胸腔镜手术与开放手术的疗效对比

Comparison on curative effect of esophageal thoracoscope surgery and open surgery for retrosternal reconstruction of digestive tract

目的对比分析经胸骨后径路消化道重建的食管癌胸腔镜手术与开放手术治疗食管癌的临床效果。方法 66例食管癌患者为研究对象,根据手术方法的不同分成对照组(行开放手术治疗)及观察组(行经胸骨后径路消化道重建的食管癌胸腔镜手术治疗),各33例。对两组患者术后胸引流量、并发症发生率及住院时间予以对比。结果观察组术后胸引流量(381.0±42.3)ml少于对照组的(592.1±44.7)ml,差异具有统计学意义(t=19.705,P=0.000<0.05)。观察组并发症发生率6.1%低于对照组的24.2%,差异具有统计学意义(P<0.05)。观察组住院时间(7.1±2.5)d短于对照组的(11.9±2.7)d,差异具有统计学意义(t=7.494,P=0.000<0.05)。结论在食管癌患者治疗中,经胸骨后径路消化道重建的胸腔镜手术的临床效果较好,术后并发症较少,恢复较快,可在临床治疗中广泛应用与推广。

Objective To compare and analyze the clinical effect of esophageal thoracoscope surgery and open surgery for retrosternal reconstruction of digestive tract in the treatment of esophagus cancer. Methods A total of 66 esophagus cancer patients as study subjects were divided by different surgical methods into control group （receiving open surgery） and observation group （receiving thoracoscope surgery for retrosternal reconstruction of digestive tract）, with 33 cases in each group. Comparison were made on postoperative chest drainage, the incidence of complications and hospital stay time in two groups. Results The observation group had less postoperative chest drainage as （381.0 ± 42.3） ml than （592.1 ± 44.7） ml in the control group, and the difference had statistical significance （t=19.705, P=0.000〈0.05）. The observation group had lower incidence of complications as 6.1% than 24.2% in the control group, and the difference had statistical significance （P〈0.05）. The observation group had shorter hospital stay time as （7.1 ± 2.5） d than （11.9 ± 2.7） d in the control group, and the difference had statistical significance （t=7.494, P=0.000〈0.05）. Conclusion For the treatment of esophagus cancer patients, thoracoscope surgery for retrosterual reconstruction of digestive tract shows good clinical effect with less postoperative complications and quick recovery. So it can be widely applied and promoted in clinical treatment.