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目的:评价管状胃成形术在食管癌根治手术中的临床效果。方法:选取我院胸外科收治的食管癌患者61例,按采取的手术术式不同分为管状胃组和传统组,管状胃组:31例,传统组:30例。观察2组患者手术后心肺并发症、吻合口狭窄发生率、反流性食管炎发生率等临床指标。结果:2组患者均顺利完成手术,管状胃组的胸胃综合征和反流性食管炎的发生率明显低于传统组,差异有统计学意义(P<0.05);在心肺并发症和吻合口狭窄发生率上无统计学意义(P>0.05)。结论:管状胃成形术能减少食管癌手术后并发症的发生率,改善患者术后生活质量,具有很好地临床应用价值。
Objective: To evaluate the clinical effect of tubular gastroplasty in radical surgery of esophageal cancer. Methods: Totally 61 patients with esophageal cancer who underwent thoracic surgery in our hospital were divided into two groups according to the surgical operation: tubular stomach group and traditional group, 31 cases of tubular stomach group and 30 cases of traditional group. The clinical indexes such as the incidence of cardiopulmonary complications, the incidence of anastomotic stenosis and the incidence of reflux esophagitis in the two groups were observed. Results: The operation was successful in both groups. The incidence of thoraco - gastric syndrome and reflux esophagitis in the tubular stomach group was significantly lower than that in the traditional group (P <0.05). In the patients with cardiopulmonary complications and anastomosis The incidence of stenosis was not statistically significant (P> 0.05). Conclusion: Gastric angioplasty can reduce the incidence of postoperative complications of esophageal cancer and improve the postoperative quality of life of patients with good clinical value.