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目的比较分析不同手术入路治疗食管癌喷门癌的临床效果。方法根据患者情况将在本院接受手术治疗的120例食管癌、贲门癌患者分为四组:甲组(35例)采用左胸入路;乙组(38例)采用右胸入路;丙组(20例)采用右胸、腹部正中、颈部入路;丁组(27例)采用上腹部正中入路,观察四组患者手术情况及术后并发症发生情况。结果患者术后并发症主要集中在主动脉出血、肺部并发症、奇静脉出血、胃排空障碍等,其中丙组患者并发症发生率明显高于甲组、乙组及丁组,差异有统计学意义(P<0.05)。结论不同手术入路治疗食管癌、贲门癌具有各自优劣势,实际操作中医护人员需要根据患者病情合理选择,从而保证手术的顺利进行,减少并发症。
Objective To compare and analyze the clinical effects of different surgical approaches in the treatment of esophageal cancer. Methods According to the patient’s condition, 120 cases of esophageal and cardiac cancer who underwent surgery in our hospital were divided into four groups: group A (35 cases) underwent left chest approach; group B (38 cases) underwent right chest approach; In the group of 20 cases, the right chest and the middle of the abdomen and the neck were used. In the Ding group (27 cases), the upper midline approach was used to observe the operation and postoperative complications of the four groups. Results The postoperative complications mainly included aortic hemorrhage, pulmonary complications, venous hemorrhage and gastric emptying. Among them, the incidence of complication in group C was significantly higher than that in group A, group B and group D Statistical significance (P <0.05). Conclusions Different surgical approaches for esophageal cancer and cardia cancer have their own advantages and disadvantages. Practitioners in the field need to choose their patients reasonably to ensure the smooth operation and reduce the complications.