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目的比较食管癌胸腹腔镜下手术和开胸手术的并发症发生情况。方法选择2013年9月-2016年9月在我院接受食道癌治疗的患者146例。采用随机数字表法分为观察组和对照组,各73例。其中观察组患者采用胸腹腔镜治疗,对照组患者采用传统的开胸手术。术后随访6个月。记录并比较两组患者的手术时间、出血量、淋巴结清扫数量、住院时间以及手术后的并发症发生情况。结果观察组患者的出血量、淋巴结清扫数量、住院时间等情况均优于对照组,差异均有统计学意义(P<0.05)。观察组患者的总并发症比例为5.48%(4/73),少于对照组的9.59%(34/73),但差异无统计学意义(P>0.05)。观察组患者术后6个月的存活率为97.26%(71/73),显著高于对照组的89.04%(65/73),差异有统计学意义(P<0.05)。结论对食管癌患者采用胸腹腔镜下手术,创伤较小、手术之中的出血量较少,并且并发症发生几率低、存活几率高。具有较高的临床应用价值。
Objective To compare the complications of laparoscopic surgery and thoracic surgery for esophageal cancer. Methods A total of 146 patients who were treated for esophageal cancer in our hospital from September 2013 to September 2016 were selected. The random number table was divided into observation group and control group, 73 cases each. Patients in the observation group were treated with thoracoscopic surgery and patients in the control group were treated with conventional thoracotomy. Followed up for 6 months. The operative time, blood loss, number of lymph node dissections, length of stay, and postoperative complications were recorded and compared between the two groups. Results The bleeding volume, lymph node dissection quantity and hospitalization time of the observation group were better than those of the control group, and the differences were statistically significant (P<0.05). The total complication rate in the observation group was 5.48% (4/73), which was less than the 9.59% (34/73) in the control group, but the difference was not statistically significant (P>0.05). The survival rate of the observation group at 6 months after operation was 97.26% (71/73), which was significantly higher than that of the control group (89.04%) (65/73). The difference was statistically significant (P<0.05). Conclusion The use of thoracoscopic laparoscopic surgery for esophageal cancer patients resulted in less trauma and less blood loss during surgery. The risk of complications was low and survival was high. Has a high clinical application value.