论文部分内容阅读
目的:探讨管状胃代食管在胸上中段食管癌中的应用价值。方法:回顾性分析2005年1月至2010年12月广东省茂名市中医院收治的60例胸上中段食管癌患者的临床资料,根据术式不同分为管状胃组(30例)和全胃组(30例),观察两组患者手术情况,分别于术前1周、术后1周及术后3周检查患者肺功能。结果:60例患者手术均获得成功,无手术死亡病例。管状胃组与全胃组患者术后并发症发生率分别为26.7%和33.3%,两组比较,差异无统计学意义(P>0.05)。术后1周两组患者肺功能比较,差异无统计学意义(P>0.05);与全胃组比较,术后3周管状胃组患者肺功能明显改善(P<0.05)。结论:与传统全胃代食管术相比,管状胃代食管术对患者术后肺功能影响相对较小,值得临床推广应用。
Objective: To explore the value of tubular gastric esophagus in the middle of upper thoracic esophageal cancer. Methods: The clinical data of 60 patients with middle and upper thoracic esophageal cancer who were treated in Maoming Hospital of Traditional Chinese Medicine from January 2005 to December 2010 were retrospectively analyzed. According to the different surgical procedures, the patients were divided into tubular gastric group (30 cases) and whole stomach (30 cases). The operation conditions of the two groups were observed. The pulmonary function of the two groups were examined at 1 week before operation, 1 week after operation and 3 weeks after operation. Results: All the 60 patients were successfully operated without any surgical death. The incidences of postoperative complications were 26.7% and 33.3% in patients with tubular stomach and whole stomach respectively. There was no significant difference between the two groups (P> 0.05). The lung function of the two groups was not significantly different at 1 week after operation (P> 0.05). Compared with the whole stomach group, the lung function of the tubular group at 3 weeks after operation was significantly improved (P <0.05). Conclusion: Compared with the traditional total esophageal esophageal surgery, tubular esophageal esophageal surgery has a relatively small effect on postoperative pulmonary function, which is worthy of clinical application.