目的：探讨不同切口开胸食管癌根治术对肺功能的影响，为临床推广做出指导。方法选择我院自2010年2月～2013年2月收治的66例食管癌患者为研究对象，按照手术切口的不同将其完全随机分为两组，对照组33例患者给予经左后外侧切口开胸食管癌根治术，观察组33例患者则给予经右前外侧切口开胸食管癌根治术，对比观察两组患者手术前后肺功能情况。结果两组患者手术后肺功能均出现下降，但是观察组患者的肺功能情况明显优于对照组，两组比较差异具有统计学意义（P＜0.05）。结论经右前外侧切口开胸食管癌根治术治疗食管癌的临床疗效显著，手术后对患者肺功能影响较小，值得临床广泛推广。%Objective To investigate the influence of open thoracic esophageal cancer radical surgery through different incisions on the pulmonary function in order to guide clinical promotion. Methods Sixty-six patients with esophageal cancer treated in our hospital from February 2010 to February 2013 were selected as the study subjects and randomly divided into two groups according to the surgical incision. The 33 patients of the control group received trans-left-posterior-lateral incision open thoracic esophageal cancer radical surgery and the 33 patients of the observation group received trans-right-anterior-lateral incision open thoracic esophageal cancer radical surgery. The postoperative and postoperative pulmonary function of the two groups of patients was observed. Results The postoperative pulmonary function of both groups reduced, but the pulmonary function of the observation group was significantly better than that of the control group, with statistically significant difference between the two groups (P<0.05). Conclusion In the treatment of esophageal cancer, trans-right-anterior-lateral incision open thoracic esophageal cancer radical surgery shows remarkable clinical efficacy and exerts little influence on the patients’ postoperative pulmonary function, thereby worthy of wide clinical promotion.
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