“免管免禁”技术在食管癌手术治疗中的应用

The Application of“Tube-free and Contraindication Free”Technique in the Surgical Treatment of Esophageal Cancer

目的探究“免管免禁”技术在食管癌手术治疗中的应用。方法择取2018年9月-2019年11月医院收治的102例食管癌患者作为此次的研究对象,并依据不同的治疗方案分为对照组、研究组,各51例。对照组采用常规治疗,为研究组则加以采用“免管免禁”技术,比较两组的手术时间、术后恢复情况以及术后并发症情况等,并进行评估、分析。结果研究组胸腹部操作与颈部操作平均时间均长于对照组,总体手术时间具有统计学差异(P<0.05)。术后研究组首次下床时间、排气时间、排便时间以及术后住院时间均少于对照组(P<0.05)。而在术后并发症方面,研究组与对照组吻合口瘘率无明显差异(P>0.05),研究组术后肺部感染、胃排空延迟、鼻咽不适感的发生率较对照组降低(P<0.05)。结论“免管免禁”技术符合加速康复外科的理念,不增加吻合口瘘率,能减少患者生理及心理的创伤应激,降低并发症发生率,有利于患者术后康复。安全可行。

Objective To explore the application of“no tube and no ban”technology in the surgical treatment of esophageal cancer.Methods A total of 102 patients with esophageal cancer treated in our hospital from September 2018 to November 2019 were selected as the subjects of this study.They were divided into a control group and a research group with 51 cases each according to different treatment protocols.The control group was treated with conventional treatment,while the study group was treated with“no-pipe and no-inhibition”technology.The total operation time,thoracic and abdominal operation time,and neck operation time of the two groups were compared and evaluated.Results The mean time of thoracoabdominal operation and neck operation in the study group was longer than that in the control group.The total operation time of the control group was statistically different(P<0.05).Postoperative research group leader.The time of getting out of bed,time of exhausting air,time of defecation and time of discharge after operation were less than those of the control group(P<0.05).In terms of postoperative complications,there was no significant difference in the rate of anastomotic leakage between the study group and the control group(P>0.05).The incidence of postoperative pulmonary infection,delayed gastric emptying and nasopharynx discomfort in the study group was lower than that in the control group(P<0.05).Conclusion“no-pipe and no-inhibition”technology is in line with the concept of accelerated rehabilitation surgery,does not increase the rate of anastomotic fistula,can reduce the physiological and psychological traumatic stress of patients,reduce the incidence of complications,and is conducive to postoperative recovery of patients.Safe and feasible.