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目的:探讨在食管癌根治术中应用管状胃代食管的安全性和临床效果。方法:选择接受手术治疗的139例胸段食管癌患者,分为全胃组和管状胃组,比较两组患者手术时间、术后住院时间、并发症发生率的不同。结果:管状胃组与全胃组手术时间、术后住院时间比较无统计学意义(P>0.05);管状胃组术后胸胃综合征、心肺并发症的发生率均低于全胃组(P<0.05)。结论:管状胃重建消化道在食管癌根治术中不延长手术时间和住院时间,简便、易行,术后并发症发生率低,可改善患者的生活质量,提高生存率,值得临床推广。
Objective: To investigate the safety and clinical efficacy of tubular gastric esophageal esophageal carcinoma in the radical operation of esophageal cancer. Methods: One hundred and ninety-nine patients with thoracic esophageal cancer undergoing surgery were divided into the whole stomach group and the tubular stomach group. The operation time, postoperative hospital stay and complication rate were compared between the two groups. Results: There was no significant difference in the operation time and postoperative hospital stay between the tubular stomach group and the whole stomach group (P> 0.05). The incidence of thoraco-gastric syndrome and cardiopulmonary complications in the tubular stomach group was lower than that in the whole stomach group P <0.05). Conclusion: Gastrointestinal reconstruction of the digestive tract in esophageal cancer radical operation does not extend the operation time and hospital stay, simple, easy, low incidence of postoperative complications, can improve the quality of life of patients and improve survival rate, worthy of clinical promotion.