超声刀对食管癌术后应激的影响

目的 探讨超声刀对胸中下段食管癌根治术后应激的影响.方法 回顾性分析115例胸中下段食管癌行剖左胸食管癌根治术患者临床资料,其中60例使用超声刀,另55例使用电刀.比较两组术后72 h引流量、术后并发症及住院天数、术后第2天白细胞计数、粒细胞百分比、C-反应蛋白(CRP)及血糖.结果　超声刀组和电刀组术后72 h引流量分别为(856.2±233.4)ml和(1271.5±346.8) ml(P＜0.05).两组患者术后并发症率、术后住院时间差异无统计学意义.两组术后第2天白细胞计数、粒细胞百分比、CRP、血糖均较术前升高(均P＜0.05)；且两组间各指标除血糖外,其余超声刀组均较电刀组减少(均P＜0.05).结论　使用超声刀,可以减少食管癌根治术后72 h引流量及术后应激反应.

The effect of ultrasonic harmonic scalpel on stress after radical resection of esophageal carcinoma

Objective To explore the effect of ultrasonic harmonic scalpel on stress after radical resction of esophageal carcinoma. Methods All 115 patients of esophageal carcinoma undergone radical esophagectomy were analyzed retrospectively. 60 patients were performed with ultrasonic harmonic scalpel, the other 55 patients were performed with electrotome. The drainage volume of 72h after operation, postoperative complications and hospital days were analyzed. White blood cell count, Neu, CRP and blood glucose level were tested 2 days after operation. Results There was significant difference in the drainage volume of 72h after operation （ P 〈 0.05 ）, but the postoperative complications and hospital days had no obvious difference. White blood cell count, Neu, CRP and blood glucose were obviously increased after operation （ all P 〈 0.05 ） ; the harmonic scalpel group was dramatically decreased as compared with the electrotome group except blood glucose （ all P 〈 0.05 ）. Conclusion Radical resection of esophageal carcinoma using ultrasonic harmonic scalpel appears to decrease the drainage volume of 72h after operation and less the stress.