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目的探讨食管癌根治术中更为有效的食管胃吻合技术。方法选择2013年1月至2015年12月食管癌根治手术患者188例,将其随机分为管胃组(实验组)104例和全胃组(对照组)84例。比较分析两组患者年龄、性别、肿瘤分期、吻合方法、胃液引流量、手术时间,以及吻合口瘘、吻合口狭窄、胃食管反流、胃排空延迟、胸胃综合征的发生率等术后并发症和生活质量指标。结果两组患者均痊愈出院。实验组与对照组术后胃排空功能及胸胃综合征比较差异有统计学意义(P<0.05),而年龄、性别、肿瘤分期、吻合方法、胃液引流量、手术时间和吻合口瘘、吻合口狭窄及反流性食管炎比较差异未见统计学意义(P>0.05)。结论食管癌根治术中应用管状胃代替食管更符合生理,可明显改善术后患者的生活质量。
Objective To investigate the more effective esophageal and gastric anastomosis techniques in radical resection of esophageal cancer. Methods 188 patients with radical resection of esophageal cancer from January 2013 to December 2015 were randomly divided into two groups: control group (104 cases) and stomach group (control group). The age, sex, tumor stage, anastomosis, gastric drainage, operation time, anastomotic fistula, anastomotic stenosis, gastroesophageal reflux, delayed gastric emptying and thoraco-gastric syndrome were compared between the two groups Postoperative complications and quality of life indicators. Results Both groups were cured and discharged. There was significant difference between the experimental group and the control group in gastric emptying function and thoracoabdominal syndrome (P <0.05), while age, sex, tumor staging, anastomosis, gastric juice drainage, operation time and anastomotic fistula, Anastomotic stricture and reflux esophagitis was no significant difference (P> 0.05). Conclusion The application of tubular stomach instead of esophagus in esophageal radical resection is more in line with physiology, which can obviously improve the quality of life of postoperative patients.