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目的探讨采用胸腔镜手术治疗食管良性肿瘤的临床疗效。方法 28例食管良性肿瘤患者,均行电视胸腔镜手术治疗,观察治疗效果。结果 28例患者进行胸腔镜下手术治疗成功27例,1例因平滑肌瘤较大食管基层破坏严重转开胸手术。手术时间39~140 min,平均手术时间56.5 min,术中出血量55~190 ml,平均术中出血量85.7 ml,术后开始进食时间1~7 d,平均开始进食时间3.1 d,术后引流管拔除时间2~8 d,平均拔除时间4.1 d,住院时间5~18 d,平均住院时间7.5 d,切口大小3~7 cm,平均切口大小4.2 cm。术后2~6个月随访,手术效果良好,未见复发,无死亡病例。结论胸腔镜下手术治疗食管良性肿瘤安全、有效、创伤小,值得临床推广。
Objective To investigate the clinical efficacy of thoracoscopic surgery in the treatment of benign esophageal neoplasm. Methods Twenty-eight patients with esophageal benign tumor underwent video-assisted thoracoscopic surgery. The therapeutic effect was observed. Results Twenty-eight patients were successfully treated by thoracoscopic surgery. Twenty-seven patients were successfully treated by thoracoscopic surgery and one patient was severed by thoracic esophageal stricture. The operation time was 39 to 140 minutes, the average operation time was 56.5 minutes, the intraoperative blood loss was 55 to 190 ml, the average blood loss was 85.7 ml, the time to food was 1 to 7 days after operation, and the average time to start feeding was 3.1 days. The tube removal time was 2 ~ 8 days, the average removal time was 4.1 days, the hospitalization time was 5 ~ 18 days, the average hospitalization time was 7.5 days, the incision size was 3 ~ 7 cm and the average incision size was 4.2 cm. After 2 to 6 months of follow-up, the effect of surgery was good, no recurrence, no deaths. Conclusions Thoracoscopic surgery for the treatment of benign esophageal tumors is safe, effective and less traumatic. It is worthy of clinical promotion.