论文部分内容阅读
目的探讨管状胃重建消化道在食管癌根治术中的临床疗效及安全性。方法将拟手术治疗的食管癌患者92例,随机分成研究组和对照组(各46例)。两组均实施食管癌根治术,研究组行管状胃成形胃代食管吻合术,对照组行全胃代食管吻合术。进行手术时间、出血量、住院天数及术后并发症发生率的比较。结果两组患者的手术时间、出血量及平均住院时间差异无统计学意义(P均>0.05)。两组的吻合口瘘及吻合口狭窄发生率差异无统计学意义(P均>0.05)。研究组术后胃潴留、胃食管反流及肺部并发症的发生率低于对照组,差异有统计学意义(P均<0.05)。结论食管癌患者应用管状胃重建消化道可以降低术后胃排空延迟、胃食管反流及肺部并发症的发生率,并提高患者术后近期的生活质量。
Objective To investigate the clinical efficacy and safety of tubular stomach reconstruction of the digestive tract in esophageal cancer radical surgery. Methods 92 patients with esophageal cancer undergoing surgical treatment were randomly divided into study group and control group (46 cases each). Esophageal cancer radical mastectomy was performed in both groups. The study group underwent gastric gastroplasty and esophageal anastomosis. The control group received total stomach esophageal anastomosis. The operation time, blood loss, days of hospitalization and postoperative complication rates were compared. Results There was no significant difference in operation time, blood loss and average length of stay between the two groups (all P> 0.05). The incidence of anastomotic fistula and anastomotic stenosis in the two groups had no significant difference (all P> 0.05). The incidence of postoperative gastric retention, gastroesophageal reflux and pulmonary complications in the study group was significantly lower than that in the control group (all P <0.05). Conclusion The application of tubular gastric reconstruction of the digestive tract in patients with esophageal cancer can reduce the postoperative delayed gastric emptying, gastroesophageal reflux and pulmonary complications, and improve the quality of life of patients after surgery.