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目的对不同手术入路在食管癌贲门癌治疗中的临床疗效进行对比。方法选取本院于2011年4月~2013年7月收治食管癌贲门癌患者86例,根据手术入路不同分为四组,甲组47例采取左胸后外侧入路,乙组17例采取胸腹部正中联合入路,丙组13例采取右胸后侧入路,丁组9例采取上腹部正中入路。结果 86例患者经相应手术治疗后,肺部并发症发生率为25.6%,主动脉出血为5.8%,奇静脉出血为8.1%,胃排空障碍11.6%,患者主要并发症表现各有不同。结论在食管癌贲门癌手术治疗中,手术入路较多且各有优劣,在治疗中应根据患者病情与综合情况对手术入路进行合理选择。
Objective To compare the clinical effects of different surgical approaches in the treatment of esophageal and gastric cardia cancer. Methods Eighty-six patients with esophageal and gastric cardia cancer who were treated in our hospital from April 2011 to July 2013 were divided into four groups according to the surgical approach. A group of 47 patients underwent left-chest posterolateral approach and the other 17 patients in group B Thoracoabdominal median joint approach, Group C 13 cases to take the right chest posterior approach, 9 cases of Ding group to the middle of the upper abdominal approach. Results The main complications of 86 patients were different after surgery. The incidence of pulmonary complications was 25.6%, aortic bleeding was 5.8%, azygous hemorrhage was 8.1% and gastric emptying was 11.6%. Conclusion In surgical treatment of esophageal and gastric cardia cancer, there are many surgical approaches and their advantages and disadvantages. In the treatment, the surgical approach should be properly selected according to the patient’s condition and comprehensive situation.