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目的研究管状胃在食管癌手术后对胃食管反流的影响。方法 60例食管癌患者,按照术式不同分为传统手术组和管状胃组,各30例;同期接受体检的健康成人30例作为对照组。术后2周检测食管癌患者食管腔内24 h pH值,记录接受检查的时间以及Demeester评分系统的各项监测指标,三组之间进行两两比较。结果三组研究对象的检查总时间、立位时间及卧位时间两两比较,差异均无统计学意义(P>0.05)。管状胃组的DeMeester总评分(22.68±32.25)分、24h酸反流次数(17.22±24.14)次、>5 min的反流持续时间(2.62±3.72)min、最长反流持续时间(24.01±33.8)min、pH<4.00的总时间(82.11±119.17)min,低于传统手术组的(43.31±52.45)分、(66.35±87.23)次、(5.76±7.58)min、(35.51±38.02)min、(164.87±201.53)min,高于对照组的(22.68±32.25)分、(17.22±24.14)次、(2.62±3.72)min、(24.01±33.85)min、(82.11±119.17)min,差异均具有统计学意义(P<0.05)。结论管状胃能够使食管癌患者在术后的胃食管反流程度减轻,促进其生活质量的提高。
Objective To study the effect of tubular stomach on gastroesophageal reflux after esophageal cancer surgery. Methods 60 cases of esophageal cancer patients were divided into traditional operation group and tubular stomach group according to different operation methods, 30 cases in each group. 30 healthy adults who received physical examination in the same period as control group. Two weeks after operation, esophageal cancer patients were tested for 24 h pH in the esophagus cavity. The time of examination and the monitoring indicators of the Demeester scoring system were recorded. The comparison between the three groups was made. Results There was no significant difference in the total examination time, standing time and lying time between the three groups (P>0.05). DeMeester total score (22.68±32.25) points, 24h acid reflux number (17.22±24.14) times, duration of reflow >5 min (2.62±3.72) min, duration of maximum reflux (24.01±) in the tuber stomach group. 33.8) Min, pH <4.00 total time (82.11 ± 119.17) min, lower than the traditional surgical group (43.31 ± 52.45) points, (66.35 ± 87.23) times, (5.76 ± 7.58) min, (35.51 ± 38.02) min , (164.87±201.53) min, higher than the control group (22.68±32.25), (17.22±24.14), (2.62±3.72) min, (24.01±33.85) min, (82.11±119.17) min. Statistically significant (P<0.05). Conclusion Tubular stomach can reduce the degree of gastroesophageal reflux in patients with esophageal cancer after operation and promote the improvement of their quality of life.