刘鑫远

摘要：目的 对比食管癌应用电视辅助胸腔镜手术与常规开胸手术治疗的临床疗效。方法 选取我院和哈尔滨医科大学附属第一医院肿瘤科收治食管癌患者74例为研究对象，时间2019年7月-2021年9月;按照掷硬币法分为常规组37例（行常规开胸手术治疗）和研究组37例（行电视辅助胸腔镜手术）;对比两组患者术后相关指标与术后并发症发生情况。结果 研究组患者手术各项指标情况优于常规组，且该组术后并发症发生几率（8.11%）显著低于常规组（29.73%），组间差异显著，呈现统计学意义（P<0.05）结论 电视辅助腹腔镜手术在治疗食管癌方面应用优势显著，手术创伤面积小、手术安全性高、并发症发生几率低;可在临床大力推广使用。

关键词：食管癌;电视辅助胸腔镜手术;常规开胸手术

[Abstract] Objective To compare the clinical efficacy of video-assisted thoracoscopic surgery and conventional thoracotomy in the treatment of esophageal cancer. Methods 74 patients with esophageal cancer in our hospital from July 2019 to September 2021 were selected as the research objects;According to the coin toss method，they were divided into the conventional group（37 cases）and the study group（37 cases）;The related indexes and postoperative complications of the two groups were compared. Results the operation indexes in the study group were better than those in the conventional group，and the incidence of postoperative complications in the study group（8.11%）was significantly lower than that in the conventional group（29.73%）. The difference between the two groups was statistically significant（P < 0.05）The incidence of complications was low;It can be widely used in clinic.

[Key words] esophageal cancer;Video assisted thoracoscopic surgery;Conventional thoracotomy

食管癌，別称食道癌;为临床常见消化道肿瘤。食管癌具有高病发率和高死亡疾病特点。我国为食管癌高发国家，每年约有15万人因患食管癌而死亡;其中男性患者要多于女性患者【1】。临床上，食管癌患者普遍年龄大于40岁;疾病症状普遍表现为进行性吞咽困难。针对食管癌治疗临床以手术治疗为主要治疗手段。手术疗效明显，可有效抑制癌变组织扩散，提升患者生存质量【2】。本文对食管癌应用电视辅助胸腔镜手术与常规开胸手术治疗的临床疗效进行研究，现将对研究做如下阐述：

1.基线资料和方法

1.1基线资料

选取我院和哈尔滨医科大学附属第一医院肿瘤科收治食管癌患者74例为研究对象，时间2019年7月-2021年9月;按照掷硬币法分为常规组37例（行常规开胸手术治疗）和研究组37例（行电视辅助胸腔镜手术）。……