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目的 :对比分析超胸顶吻合与颈部吻合在中上段食管癌手术中的临床意义 ,探讨手术方法。方法 :将同期184例中上段食管癌患者随机分为两组 ,其中超胸顶吻合组 91例 ,颈部吻合组 93例 ,对比分析手术治疗效果。结果 :颈部吻合组 :发生并发症 16例 (17.2 % ) ,其中吻合口瘘 8例 (8.6 % ) ,喉返神经损伤 3例 (3.2 % ) ,肺部并发症 3例 (3.2 % ) ,乳糜胸 1例 (1.0 % ) ,心律失常 1例 (1.0 % )。超胸顶吻合组 :发生并发症 8例(8.8% ) ,其中肺部并发症 4例 (4 .4 % )例 ,乳糜胸 1例 (1.1% ) ,心律失常 2例 (2 .2 % ) ,脓胸 1例 (1.1% )。结论 :中上段食管癌手术中超胸顶吻合是一种值得推广的手术方式。
OBJECTIVE: To compare and analyze the clinical significance of super-thoracic anastomosis and cervical anastomosis in upper and middle esophageal cancer surgery and to explore the surgical methods. Methods: A total of 184 middle and upper esophageal cancer patients of the same period were randomly divided into two groups, including 91 cases of super anternal anastomosis and 93 cases of cervical anastomosis. The operative effects were compared. Results: In the anastomosis group, 16 cases (17.2%) had complications, of which 8 cases (8.6%) had anastomotic fistula, 3 cases (3.2%) had recurrent laryngeal nerve injury, 3 cases had pulmonary complications (3.2% Chylothorax in 1 case (1.0%), arrhythmia in 1 case (1.0%). In the super-anastomosis group, 8 cases (8.8%) had complications, including 4 cases of pulmonary complications (4. 4%), 1 case of chylothorax (1.1%) and 2 cases of arrhythmia , Empyema in 1 case (1.1%). Conclusion: In the upper esophageal cancer operation super-anastomosis is a worthy method of surgery.