| 王军岐 杨智 付小伟 仝瑞锋 刘明伟.胸腹腔镜联合食管癌根治术治疗老年食管癌的临床疗效及预后分析[J].,2015,15(15):2888-2890 |
| 胸腹腔镜联合食管癌根治术治疗老年食管癌的临床疗效及预后分析 |
| Analysis of Clinical Effects and Prognosis of Thoracic LaparoscopicCombined Esophageal Radical Operation for Elderly Patients withEsophageal Cancer |
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| DOI： |
| 中文关键词: 胸腹腔镜 根治术 老年人 食管癌 |
| 英文关键词: Thoracic laparoscopic Radical operation Elderly patients Esophageal cancer |
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| 中文摘要: |
| 目的：探讨胸、腹腔镜联合手术治疗老年食管癌的临床疗效及对预后影响。方法：选取我院2012 年2 月-2013 年7月收治的
72 例老年食管癌患者,采用字数表法随机分成联合组和传统组,各36 例；传统组给予传统开腹开胸手术，联合组则采用胸腹腔镜
联合根治术治疗。随访1 年，比对两组患者手术临床指标及术后并发症发生率、复发率、死亡率及生活质量。结果：两组手术时间
及淋巴结清扫量对比明显差异（P>0.05）；联合组创口长度、住院时间及出血量均明显低于传统组，住院费用高于传统组，两组比较
差异有统计学意义（P<0.05）；联合组术后转ICU者1 例、并发症者2 例，与传统组的3 例和5例对比无统计学意义（P>0.05）；联合
组复发1 例，死亡1 例，传统组复发1 例、转移1 例，死亡1 例，两组对比无明显差异（P>0.05）；术后联合组VAS 评分明显低于传
统组，两组比较具有统计学意义（P<0.05）；联合组生理机能、躯体疼痛及精力评分明显高于传统组（P<0.05），其余5 项评分对比差
异无统计学意义（P>0.05）。结论：胸、腹腔镜联合食管癌根治术治疗老年食管癌患者临床疗效显著，并发症低，预后良好，值得在老
年食管癌患者中推广。 |
| 英文摘要: |
| Objective:To investigate the effect of thoracic laparoscopic combined radical operation for elderly patients with
esophageal cancer and its influence on prognosis.Methods:72 cases of elderly patients with esophageal cancer in our hospital from
February 2012 to July 2013 were randomly divided into combined group and traditional group by word table method, 36 cases in each.
The traditional group was given conventional laparotomyand thoracotomy, and the combined group received thoracic laparoscopic combined
radical operation treatment.1 years of follow-up, the clinical index and postoperative complication rate, recurrence rate, mortality
and quality of life were compared between two groups.Results:There was no statistical difference in operation time and number of
lymph node dissection between the two groups(P>0.05). The wound length, hospitalization time and amount of bleeding of the combined
group were significantly lower than those of the traditional group. The hospitalization expenses of traditional group was significantly lower
than that of the combined group (P<0.05). After operation,1 cases transferred to ICU, 2 cases with complications in combined group,
compared with 3 cases and 5 cases in traditional group, there was no statistical significance (P>0.05); Postoperative VAS scores of the
combined group were significantly lower than that of the traditional group (P<0.05); The physiological functions, physical pain and mental
scores of the combined group were significantly higher than those of the traditional group (P<0.05), and others of 5 dimensions had no
difference compared with the traditional group (P>0.05).Conclusion:Thoracic laparoscopic combined radical operation for elderly patients
with esophageal cancer has obvious curative effect, with low complications and well prognosis, it's worthy of promotion of
esophageal carcinoma in elderly patients. |
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