胸腔镜食管癌根治术联合胸内吻合术在食管癌中的应用观察

Application of thoracoscope joint intrathoracic esophageal cancer radical anastomosis in treatment of esophageal cancer

目的分析胸腔镜食管癌根治术与胸内吻合术联合治疗食管癌的临床效果。方法选取安阳市肿瘤医院2014年7月至2016年7月收治的60例食管癌患者,随机分为对照组(30例,给予常规治疗方法)和研究组(30例,给予胸腔镜食管癌根治术与胸内吻合术联合治疗方法),对比分析两组治疗效果。结果经治疗后,两组肺部功能各项指标(FEV1、FEV1/FVC、PEF)均得到改善,组间数据对比发现,研究组改善情况显著优于对照组,有统计学意义(P<0.05)。对照组并发症发生率为16.7%,研究组并发症发生率为3.3%,两组术后并发症发生率对比差异有统计学意义(P<0.05)。结论胸腔镜食管癌根治术与胸内吻合术联合治疗食管癌应用价值高,效果显著,值得推广和应用。

Objective To analyze the clinical effect of thoracoscope and intrathoracic esophageal cancer radical anastomosis combined treatment for esophageal cancer. Methods From July 2014 to July 2016 totally 60 patients with esophageal cancer were divided into control group（ 30 cases,given routine therapy） and research group（ 30 cases,give thoracoscope and intrathoracic esophageal cancer radical anastomosis combination method）,the contrast analysis of two groups of therapeutic effect. Results After treatment,two groups of the indicators lung function（ FEV1,FEV1/FVC,PEF） were improved,the improvement in research group was significantly better than that of the control group（ P〈0. 05）,with statistical significance. The incidence of complications in control group was 16. 7%,the incidence of complications in research group was 3. 3%,the difference was statistically significant（ P〈0. 05）. Conclusion The application value of thoracoscope and intrathoracic esophageal cancer radical anastomosis combined treatment for esophageal is high,the effect is significant,worthy of popularization and application.