胸腔镜与开胸手术治疗新生儿Ⅲ型食管闭锁的效果比较

Efficacy of thoracoscopic surgery versus thoracotomy for neonatal type Ⅲ esophageal atresia:a comparative study

目的 对比分析胸腔镜手术与开胸手术治疗新生儿先天性Ⅲ型食管闭锁的临床疗效。方法 回顾性分析46例先天性Ⅲ型食管闭锁患儿的临床资料,按手术方法分为胸腔镜组(20例)和开胸组(26例)。对比两组患儿的术前资料及术中内环境变化和术后恢复情况等指标。结果 胸腔镜组麻醉时间、手术时间明显长于开胸组(P<0.05)。两组术后呼吸机使用时间、住院时间差异无统计学意义(P>0.05)。胸腔镜组与开胸组治愈率分别为90.0%(18/20)、92.3%(24/26),差异无统计学意义(P>0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论 胸腔镜手术治疗新生儿先天性Ⅲ型食管闭锁是安全可行的。

Objective To compare and analyze the clinical efficacy of thoracoscopic surgery versus thoracotomy for congenital type Ⅲ esophageal atresia in neonates.Methods The clinical data of forty-six neonates with congenital type Ⅲ esophageal atresia were retrospectively analyzed and divided into thoracoscopy group(20 cases) and thoracotomy group(26 cases) according to sugical approaches.The preoperative data,intraoperative internal environmental changes and postoperative recovery were compared between the two groups.Results The anesthesia duration and operation duration of the thoracoscopy group were significantly longer than those of the thoracotomy group(P<0.05).There were no statistically significant differences in duration of postoperative ventilator use or hospital stay between the two groups(P>0.05).The cure rates of the thoracoscopy group and the thoracotomy group were 90.0%(18/20) and 92.3%(24/26),respectively,presenting no statistically significant differences(P>0.05).There were no statistically significant differences in incidence rates of postoperative complications between the two groups(P>0.05).Conclusion Thoracoscopic surgery is safe and feasible for the treatment of neonates with congenital type Ⅲ esophageal atresia.