Analysis Of Clinical On The Effect Of The Operative Method For Abdomen Or Thoracic And Abdomen Approach On Treating Cardiac Carcinoma

ObjectiveBy retrieving literatures,the the cause of disease pathogenesis and treatment of cardiac carcinoma were deeply realized in qinyang city people’s hospital.To observe the clinical effects of the operative method for abdomen or thoracic and abdomen approach therapy for cardiac carcinoma.MethodsThe patients are coming from qin yang city people’s hospital from April 2011 to November 2014.This research treats cardiac carcinoma were divide 118 patients into two groups by different operation path, the operative method for abdomen approach group,the operative method for thoracic and abdomen approach group. the operative method for abdomen approach group has 98 patients, the operative method for thoracic and abdomen approach group has 20 patients.According to the sequence of the clinical visit. Postoperative patients were for Yiqi Tongfu Decoction of Chinese medicine form the nasal, nasal feeding of traditional Chinese Medicine were stopped when intestinal function recovery, Before treatment,all the patients have to go through treatment in order to observe the change in the state of an illness and to determine the curative effect. The gender, age, high risk factors, histological type and TNM staging of tumor of two groups did not indicate much differentiation after treatment (P>0.05);Such as, operation time, blood loss, exhaust time, postoperative complications, etc. And using SPSS 16.0 statistical software for statistical analysis.Results①The operation time of two groups:the operation time of the operative method for abdomen approach group were from 135min to 162min,the average operation time of the operative method for abdomen approach group was 148.82±6.27min; The operation time of the operative method for thoracic and abdomen approach group were from 145min to 165min,the average operation time of the operative method for thoracic and abdomen approach group were 152.48±4.41min; compared with the operative method for thoracic and abdomen approach group,the operation time of the operative method for abdomen approach group were significantly higher after treatment (P<0.01). ②The blood loss of two groups:the blood loss of the operative method for abdomen approach group was from 225 ml to 265 ml,the average blood loss of the operative method for abdomen approach group was 244.44±11.24 ml; The blood loss of the operative method for thoracic and abdomen approach group were from 270 ml to 310 ml,the average blood loss of the operative method for thoracic and abdomen approach group were 272.41±25.92 ml; compared with the operative method for thoracic and abdomen approach group,the blood loss of the operative method for abdomen approach group were significantly higher after treatment (P<0.01).③The anus exhaust time of two groups:the anus exhaust time of the operative method for abdomen approach group was from 2 days to 5 days,the average anus exhaust time of the operative method for abdomen approach group was 2.86±0.80 days; The anus exhaust time of the operative method for thoracic and abdomen approach group were from 2 days to 5 days,the anus exhaust time of the operative method for thoracic and abdomen approach group was 2.85±0.96 days; compared with the operative method for thoracic and abdomen approach group, the anus exhaust time of the operative method for abdomen approach group did not indicate much differentiation after treatment (P>0.05).④The pain score of two groups:The pain score of the operative method for abdomen approach group were from 2 to 6 on 3th day,the average pain score of the operative method for abdomen approach group were 3.94±1.23; The pain score of the operative method for thoracic and abdomen approach group were from 3 to 7 on 3 th day,the pain score of the operative method for thoracic and abdomen approach group was 4.37±1.12; compared with the operative method for thoracic and abdomen approach group,the pain score of the operative method for abdomen approach group were significantly higher after treatment (P<0.05).⑤ The pulmonary infection of two groups: the pulmonary infection in operative method for abdomen approach group has 39 patients. The pulmonary infection in operative method for thoracic and abdomen approach group has 56 patients.the pulmonary infection of two groups were significantly higher after treatment (P<0.05). the pulmonary infection in operative method for abdomen approach group, patients of pulmonary atelectasis has 4 patients, patients of arrhythmia has 12 patients, patients of anastomotic stenosis has 3 patients, patients of anastomotic has 1 patients, patients of incision infection has 3 patients, patients of pulmonary infection has 10 patients, patients of pleural effusion has 5patients, patients of surround operation period death has 1 patients; The pulmonary infection in operative method for thoracic and abdomen approach group has 56 patients, patients of pulmonary atelectasis has 6 patients, patients of arrhythmia, patients of anastomotic stenosis has 2 patients, patients of anastomotic has 0 patients, patients of incision infection has 4patients, patients of pulmonary infection has 18 patients, patients of pleural effusion has 11 patients, patients of surround operation period death has 1 patients; compared with the operative method for thoracic and abdomen approach group, the pulmonary atelectasis, the arrhythmia, anastomotic stenosis, anastomotic leakage, incision infection and death during: perioperative period of the operative method for abdomen approach group did not indicate much differentiation after treatment (P>0.05);compared with the operative method for thoracic and abdomen approach group, pulmonary infection and pleural effusion of the operative method for abdomen approach group were significantly higher after treatment (P <0.05).ConclusionsThe operative method for abdomen approach has good effect to abdominal surgery in the treatment of cardia cancer. Compared with the operative method for thoracic and abdomen approach group, ①the operative method for abdomen approach can extently relieve patients’ pain;②the operative method for abdomen approach can extently reduce the bleeding, short the operation time;③the operative method for abdomen approach can extently reduce the pulmonary infection and pleural effusion.