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目的分析不同术式对食管贲门癌患者围手术期呼吸功能的影响。方法回顾我科39例食管贲门癌行左侧后外侧剖胸手术治疗患者的临床资料,分析不同术式对其围手术期肺功能、血气分析等指标的影响。结果弓上组术后2周末、4周末肺功能指标的影响与弓下组、颈部组比较,P<0.05;弓上组和颈部组与弓下组术后1d、3d对PaO2的影响比较,P<0.05;弓上组术后7d、14d与弓下组、颈部组对PaO2的影响比较,P<0.01。结论食管胃主动脉弓上吻合术相对食管胃主动脉弓下吻合术、经食管床颈部吻合术对患者围手术期呼吸功能恢复影响明显,应加强术后患者的治疗和护理干预,促进患者肺部功能早期恢复和改善预后。
Objective To analyze the effects of different surgical procedures on respiratory function in patients with esophageal and cardiac cancer during perioperative period. Methods The clinical data of 39 patients with esophageal and cardiac cancer who underwent thoracotomy for left posterolateral thoracotomy were retrospectively analyzed. The effects of different surgical procedures on the indexes of pulmonary function and blood gas analysis during perioperative period were analyzed. Results The effects of pulmonary function indexes at the end of 2 weeks and 4 weeks after operation in the bow group were significantly different from those in the bow group and the neck group (P <0.05). The effects of PaO2 on the bow and neck groups and the arch group 1 and 3 days after operation (P <0.05). The effect of PaO2 on the 7th day, the 14th day after operation and the lower part of the arch in the arch group were significantly lower than those in the control group (P <0.01). Conclusions Esophagogastric aortic arch anastomosis relative to esophageal and gastric aortic arch anastomosis, esophageal neck anastomosis on the recovery of respiratory function in patients with perioperative effect is obvious, postoperative patients should strengthen the treatment and nursing intervention to promote patients with early pulmonary function Restore and improve the prognosis.