| [Objective] Minimally invasive esophagectomy(MIE) reported for the first ti me since 2000, now has become a major medical center esophageal surgery m ethod research hot spot.Advantages of this procedure is little trauma and quick recovery.But also cannot avoid intraoperative tissue damage caused by operati on,Incidence of postoperative complications is still there.By the lung infection.R eal-time monitoring for postoperative infection related factors.Able to provide e arly diagnosis and treatment of basis for clinical doctors.This topic through the cavity mirror under esophageal resection with thoracotomy in esophageal canc er resection PCT, CRP and TNFα infection such as IL-6 clinical comparati ve study of related antigen reaction.To further investigate the cavity mirrors sur gical application value in esophageal cancer surgery. Discuss laparoscopic esop hageal thoracic surgery affect the body’s stress response and significance.[Methods] Choose between August 2014 to August 2015 in the first affiliat ed hospital of kunming medical university thoracic surgery in the hospital for patients with esophageal cancer surgery clinical comparison research,One compl ete whole cavity mirror under esophageal surgery (three incision) 36 cases (her einafter referred to as the cavity mirror group);In order to reduce selection bias, Completed over the same period of open abdominal three right chest neck inci sion surgery cases according to set standards to select 36 patients as control gr oup (hereinafter referred to as the open group).On two groups of cases of post operative days 1,2,3,5 different times PCT, CRP,TNFα andIL-6 infectio n related indexes such as horizontal comparative analysis,Measurement data acc ord with normal distribution to adopt mean x±s, mean comparison between gr oups with independent samples t test.Count data expressed as a percentage, co mparison between groups using x squared inspection, determine the inspection 1 evel a= 0.05, P< 0.05 think the difference was statistically significant. P< 0.01 is very significant difference, P> 0.05 for no statistically significant d ifference. All the statistics to adopt SPSS 17.0 software analysis completed.[Results](1)Two groups of preoperative data:the age, sex, disease and preo perative tumor site, staging, there was no statistically significant difference (P > 0.05).So think sample is representative, can better reflect the features of the overall。 (2))Two groups of data:the cavity mirror group 1,2,3,5 days post operatively calcitonin original, c-reactive protein and blood of TNF alpha, IL 6 level is significantly less than the open group, the difference was statisticall y significant (P< 0.05).[Conclusion] Two groups of comparison:Different time points after surgery patients of cavity mirrors calcitonin original, c-reactive protein and TNF alpha, IL-6 level open group significantly lower than the same period,To a certain extent, reduce the postoperative patients with the release of inflammatory med iators, beneficial to patients recovery after surgery, reduce the risk of infection after hand.Therefore,Esophageal minimally invasive surgical treatment safe and feasible, and has great clinical application value. |
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