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目的探讨管状胃代替食管对食管癌术后围术期呼吸功能的影响。方法自2007年6月至2009年10月,142例胸中下段食管癌患者接受食管切除术,其中管状胃组78例行管状胃代食管主动脉弓上吻合术,对照组64例采用传统胃代食管行弓上吻合。分别于术前、术后第1、2、3、5、7、10、14天检查肺功能。结果术后第10天两组的肺活量占预计值百分比、第1秒用力呼气量占预计值百分比比较差异有统计学意义(P<0.05);动脉血氧分压在术后第3天开始差异有统计学意义(P<0.05)。结论管状胃代食管相比传统胃代食管对食管癌患者术后围术期呼吸功能影响小。
Objective To investigate the effect of tubular stomach instead of esophagus on the respiratory function after perioperative period of esophageal cancer. Methods From June 2007 to October 2009, 142 cases of lower thoracic esophageal cancer patients underwent esophagectomy. Among them, 78 cases of tubular stomach were treated by anastomosis of the tube on the aortic arch of the esophagus, while 64 cases of the control group received conventional gastric esophageal esophageal Bow on the match. Pulmonary function was examined preoperatively, 1, 2, 3, 5, 7, 10 and 14 days after operation. Results On the 10th day after operation, the vital capacity of the two groups accounted for the percentage of predicted value, and the forced expiratory volume of the second second had a statistically significant difference (P <0.05). The partial pressure of arterial oxygen began on the third day after the operation The difference was statistically significant (P <0.05). Conclusion Compared with traditional gastric esophageal esophagus, esophageal gastric tube has little effect on postoperative perioperative respiratory function in patients with esophageal cancer.