首页|胸腹腔镜对食管癌根治术患者炎症因子、肺功能及预后的影响

胸腹腔镜对食管癌根治术患者炎症因子、肺功能及预后的影响

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目的 探讨胸腹腔镜手术治疗食管癌患者的效果.方法 非随机选择扬州洪泉医院2020年1月—2023年12月接受手术治疗的食管癌患者86例,以手术方式差异分组,每组43例,对照组接受传统开胸手术,观察组接受胸腹腔镜手术,对比两组手术指标、炎症因子、肺功能及并发症、复发率.结果 观察组手术指标、炎症因子、肺功能均能优于对照组,差异有统计学意义(P均<0.05).观察组并发症发生率为2.33%(1/43),低于对照组的16.28%(7/43),差异有统计学意义(χ2=4.962,P<0.05).两组复发率比较,差异无统计学意义(P>0.05).结论 胸腹腔镜食管癌根治术治疗的创伤更低,对患者炎症反应、肺功能的影响更小,预后良好.
Effects of Thoracic Laparoscopy on Inflammatory Factors,Lung Function and Prognosis of Patients Undergoing Radical Aurgery for Oesophageal Cancer
Objective To explore the effect of laparoscopy surgery in the treatment of esophageal cancer patients.Methods 86 esophageal cancer patients who underwent surgical treatment at Yangzhou Hongquan Hospital from Janu-ary 2020 to December 2023 were randomly selected and divided into different groups based on surgical methods,with 43 cases in each group.The control group received traditional thoracotomy,and the observation group received laparo-scopic thoracic surgery.Surgical indexes,inflammatory factors,lung function,complications and recurrence rate were compared between the two groups.Results The surgical indexes,inflammatory factors and lung function in the obser-vation group were better than those in the control group,the differences were statistically significant(all P<0.05).The complication rate of the observation group was 2.33%(1/43),lower than 16.28%(7/43)of the control group,and the difference was statistically significant(χ2=4.962,P<0.05).There was no significant difference in recurrence rate be-tween the two groups(P>0.05).Conclusion Laparoscopic radical resection of esophageal cancer has less trauma,less impact on inflammation and lung function,and a good prognosis.

Oesophageal cancerThoracolaparoscopyPen thoracic surgeryInflammatory factorLung functionPrognosis

陈飞、吴言红

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扬州洪泉医院胸外科,江苏 扬州 225200

食管癌 胸腹腔镜 开胸手术 炎症因子 肺功能 预后

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(14)