微创食管癌根治术与常规开胸手术治疗食管癌的安全性及效果对比分析
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摘要
目的探究治疗食管癌时使用微创食管癌根治术与常规开胸手术的治疗效果和安全性。方法现随机选取2015年1月～2018年6月来我院就诊的食管癌患者200例作为研究对象,按照病人的就诊时间将其分为对照组和实验组各100例,对照组病人采用常规开胸手术,实验组采用微创食管癌根治术,对两组患者治疗效果和方法安全性进行评估。结果实验组患者手术时间比对照组长,但出血量和术后胸腔引流量明显低于对照组。实验组患者发生肺部感染率比对照组低,且实验组六个月后的无瘤生存率明显高于对照组,差异有统计学意义(P<0.05)。结论对食管癌患者采用微创食管癌根治术有较好的疗效,对患者造成损伤小,术后感染率低,无瘤生存率高,安全性较高,值得临床推广。
Objective To investigate the therapeutic effect and safety of minimally invasive esophageal cancer radical resection and conventional thoracotomy for the treatment of esophageal cancer. Methods A total of200 patients with esophageal cancer who were admitted to our hospital from January to May 20,2015 were randomly selected.The patients were divided into the control group and the experimental group according to the time of the patient's visit.100 patients in the control group were used. For routine thoracotomy, the experimental group was treated with minimally invasive esophageal cancer radicalization, and the therapeutic effects and method safety of the two groups were evaluated. Results The operation time of the experimental group was longer than that of the control group,but the amount of bleeding and postoperative chest drainage were significantly lower than the control group. The incidence of pulmonary infection in the experimental group was lower than that in the control group,and the tumor-free survival rate in the experimental group was significantly higher than that in the control group after six months(P<0.05). Conclusion The treatment of esophageal cancer patients with minimally invasive esophageal cancer has a good curative effect,causing little damage to the patient,low postoperative infection rate,high tumor-free survival rate and high safety, which is worthy of clinical promotion.
Objective To investigate the therapeutic effect and safety of minimally invasive esophageal cancer radical resection and conventional thoracotomy for the treatment of esophageal cancer. Methods A total of200 patients with esophageal cancer who were admitted to our hospital from January to May 20,2015 were randomly selected.The patients were divided into the control group and the experimental group according to the time of the patient's visit.100 patients in the control group were used. For routine thoracotomy, the experimental group was treated with minimally invasive esophageal cancer radicalization, and the therapeutic effects and method safety of the two groups were evaluated. Results The operation time of the experimental group was longer than that of the control group,but the amount of bleeding and postoperative chest drainage were significantly lower than the control group. The incidence of pulmonary infection in the experimental group was lower than that in the control group,and the tumor-free survival rate in the experimental group was significantly higher than that in the control group after six months(P<0.05). Conclusion The treatment of esophageal cancer patients with minimally invasive esophageal cancer has a good curative effect,causing little damage to the patient,low postoperative infection rate,high tumor-free survival rate and high safety, which is worthy of clinical promotion.
引文
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