胸腹腔镜微创手术对食管癌患者术中出血量、疼痛情况及并发症的影响

Effects of thoracoscopic minimally invasive surgery on the amount of intraoperative bleeding,pain and complications in patients with esophageal cancer

目的探究胸腹腔镜微创手术对食管癌患者术中出血量、疼痛情况及并发症的影响。方法将96例食管癌手术治疗患者按照随机对照原则分为对照组与观察组,各48例。对照组采用常规开胸手术治疗,观察组采用胸腹腔镜微创手术治疗。比较两组的手术效果。结果观察组的总出血量、总输血量、引流量均少于对照组(P<0.05)。观察组的VAS评分低于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论胸腹腔镜微创手术能够有效治疗食管癌,减少术中出血量,降低并发症发生率和术后疼痛程度,值得推广。

Objective To investigate the effects of thoracoscopic minimally invasive surgery on the amount of intraoperative bleeding,pain and complications in patients with esophageal cancer.Methods According to the principle of random control,96 patients with esophageal cancer were divided into control group and observation group,with 48 cases in each group.The control group was treated by conventional thoracotomy,and the observation group was treated by thoracoscopic minimally invasive surgery.The operation effects of the two groups were compared.Results The total amount of bleeding,blood transfusion and amount of drainage in the observation group were less than those in the control group(P<0.05).The VAS score of the observation group was lower than that of the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Thoracoscopic minimally invasive surgery can effectively treat esophageal cancer,reduce the amount of intraoperative bleeding,the incidence of complications and postoperative pain degree,which is worth popularizing.