论文部分内容阅读
目的探讨贲门癌的手术切口。方法总结 35 6例行贲门癌切除患者左进胸切口与胸腹联合切口的差异。结果二种切口的切除率分别为 74.12 %、86 .98% ( P<0 .0 1) ;清除淋巴结数平均分别为 8.2 1± 2 .43、8.99± 2 .95 ( P<0 .0 1) ;切缘阳性率相似 ( P>0 .0 5 ) ;肺部感染、吻合口漏发生率相似 ( P>0 .0 5 ) ;术后 1周最大通气量、用力肺活量和体重较术前均下降 ,但差异无显著性 ( P>0 .0 5 )。结论贲门癌切除术胸腹联合切口切除率高 ,清扫彻底 ,不增加并发症和对肺功能的影响 ,是较理想的切口
Objective To investigate the surgical incision of cardiac cancer. Summary of Methods 35 6 patients with cardiac cancer resection of left chest incision and thoracoabdominal incision. Results The resection rates of the two incisions were 74.12% and 86.98% respectively (P<0.01); the average number of cleared lymph nodes was 8.2 1± 2.43 and 8.99± 2.95, respectively (P<0.01). Positive rate of resection margin was similar (P > 0.05); rates of pulmonary infection and anastomotic leakage were similar (P > 0.05); maximum ventilation, forced vital capacity, and weight were less than 1 week after surgery. Both decreased, but the difference was not significant (P>0.05). Conclusion The resection rate of cardiac and abdomen combined incision for cardia cancer resection is high, and the removal is complete, without increasing complications and impact on lung function. It is an ideal incision.