Clinical Effect of Transabdominal and Transleft Thoracotomy for Cardial Carcinoma in Elderly Patients and Its Influence on Stress Response
Objective To explore the clinical effect of transabdominal and transleft thoracotomy for cardial carcinoma radical resection in the treatment of senile cardial carcinoma and its influence on stress response.Methods A total of 98 elderly patients with cardial cancer admitted to the Affiliated Hospital of Huanghe Science and Technology College from March 2019 to March 2020 were selected as the study objects and were divided into left thoracic approach group(left thoracic group)and abdominal approach group(transabdominal group)by random number table method,with 49 cases in each group.The indicators,postoperative pain and stress response,complication rate,and 1 year postopera-tive survival rate were compared between the two groups.Results The operative time,postoperative drainage volume,intraoperative blood loss and hospital stay of the transabdominal group were(187.79±24.97)min,(299.97±89.97)mL,(65.89±9.15)mL and(11.13±2.98)d,better than those in the left thoracic group,and the differences were statistically significant(t=4.415,3.647,3.700,4.954,all P<0.05).The Visual Analogue Scale scores at exercise and rest in the transabdominal group were lower than those in the left thoracic group,the level of superoxide dimutase of transab-dominal group was higher and level of C-reactive protein and malondialdehyde were lower,and the differences were statistically significant(all P<0.05).The incidence of postoperative pulmonary complications in the transabdominal group was 4.08%,which was lower than 16.33%in the left thoracic group,and the difference was statistically signifi-cant(χ2=4.009,P<0.05).There was no statistically significant difference in other complications and 1 year survival rate between the two groups(all P>0.05).Conclusion Transabdominal approach can reduce postoperative pain and oxidative stress response and reduce the occurrence of complications.
Cardiac cancerRadical operation of cardiac carcinomaStress response
万方数据
维普
