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目的探讨不同径路食管癌根治术的临床效果。方法选择我院2010年1月—2014年1月收治的42例中下段食管癌患者为研究对象,随机分为对照组和观察组各21例,对照组采用三切口左颈部吻合术进行治疗,观察组进行左侧剖胸胸内吻合术,对比两组患者的临床疗效及术后胃肠功能恢复时间、住院时间、吻合口狭窄发生率等。结果观察组平均出血量为(218.9±195.6)ml,平均住院时间为(9.7±1.8)d,均少于对照组(t=6.6194,P<0.05);随访6个月~3年,观察组总有效率为95.24%(20/21),术后肺部感染发生率为0,吻合口狭窄发生率4.76%(1/21),均优于对照组,比较差异均具有统计学意义(P<0.05)。结论采用左侧开胸胸内吻合行中下段食管癌根治手术,创伤小、胃肠功能恢复快、住院时间短、吻合口狭窄发生率低,更有利于提高患者康复,值得在基层医院推广。
Objective To investigate the clinical effects of radical resection of esophageal carcinoma with different pathways. Methods Forty-two patients with middle and lower esophageal cancer who were treated in our hospital from January 2010 to January 2014 were selected and randomly divided into control group and observation group, with 21 cases in each group. The control group was treated with triple-incision left-neck anastomosis . The observation group was underwent thoracotomy on the left side and compared with the clinical efficacy and postoperative gastrointestinal function recovery time, hospitalization time, the incidence of anastomotic stenosis and so on. Results The average amount of bleeding in the observation group was (218.9 ± 195.6) ml and the average length of hospital stay was (9.7 ± 1.8) d, less than that in the control group (t = 6.6194, P <0.05) The total effective rate was 95.24% (20/21). The incidence of postoperative pulmonary infection was 0 and the incidence of anastomotic stenosis was 4.76% (1/21), both of which were better than the control group, and the difference was statistically significant (P <0.05). Conclusions The left thoracic anastomosis in the middle and lower esophageal cancer radical operation, small trauma, rapid recovery of gastrointestinal function, short hospital stay, low incidence of anastomotic stenosis, more conducive to improving patient rehabilitation, it is worth promoting in primary hospitals.