传统手术、胸腔镜下食管癌手术对术后早期肺功能影响的临床研究

Clinical study on the Effect of Thoracoscopic Esophageal Carcinoma on early Postoperative Pulmonary Function

目的探讨胸腔镜下食管癌手术对术后早期肺功能影响。方法选择2015年6月-2016年5月河南省鹤壁市人民医院收治的110例食管癌患者,根据治疗方法不同分为两组,其中对照组患者采取传统开胸手术方式治疗,观察组患者采取胸腔镜下手术方式进行治疗,对两组患者手术时间、术中出血量、引流时间进行记录,对患者肺功能情况以及疼痛情况进行评分。在术后对两组患者的并发症情况进行观察记录。结果在手术效果方面,观察组患者术中出血量、手术时间、引流时间以及疼痛评分情况均优于对照组患者(P<0.05);在肺功能指标方面,观察组患者肺功能指标明显优于对照组患者(P<0.05);术后并发症情况方面,对照组患者并发症率32.7%;观察组患者并发症率14.5%,观察组患者并发症情况显著低于对照组患者(P<0.05)。结论胸腔镜手术方式不存在有较大的出血量,手术时间短,引流时间短,疼痛感轻,术后患者肺功能有显著的改善,显著降低并发症发病率,值得临床应用。但是在实际的应用过程中还需要注意禁忌症,结合患者实际情况选择手术方式。

Objective To investigate the effect of thoracoscopic surgery on early postoperative pulmonary function.Methods 110 patients with esophageal cancer treated in our hospital from June 2015 to May 2016 were randomLy divided into two groups.The patients in the control group were treated by traditional thoracotomy.The patients in the observation group were treated with thoracoscopic surgery.The operation time,intraoperative hemorrhage and drainage time were recorded in the two groups.And the lung function and pain were scored.The postoperative complications of the two groups were observed.Results In the operation effect,the blood loss,operation time,drainage time and pain score of the observation group were better than those of the control group(P<0.05).In the lung function index,the lung function index of the observation group was better(P<0.05).In the postoperative complications,the complication rate was 32.7%in the control group and 14.5%in the observation group.The complication rate in the observation group was significantly better lower than that in the control group(P<0.05).Conclusion There is no significant amount of bleeding in the method of thoracoscopic surgery.The operation time and the drainage time is short.The pain is mild.There is a significant improvement in lung function in patients with thoracoscopic surgery,which significantly reduces the incidence of complications and is worthy of popularizing on clinical application.But in the actual application process,we also need to pay attention to contraindications,and choose surgical approach combined with the actual situation of patients.