管状胃代食管术与全胃代食管术治疗食管癌的疗效对比分析

《管状胃代食管术与全胃代食管术治疗食管癌的疗效对比分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、管状胃代食管术与全胃代食管术治疗食管癌的疗效对比分四川省乐山市人民医院心胸外科614000【屮图分类号】R735【文献标识码】A【文章编号】1550-1868(2016)6【摘要】目的：观察分析管状胃代食管术与全胃代食管术治疗食管癌的临床效果。方法：选取2013年1月~2015年12月收治的76例食管癌患者，通过随机数字表法分为观察组(n=38)和对照组(n=38),对照组患者采用全胃代食管术治疗，观察组患者采用管状胃代食管术治疗，观察两组患者治疗效果。结果：两组患者术屮出血量、手术时间、减压时间、引流时间、住

2、院时间等指标比较差异不具有统计学意义(P>；0.05),术后观察组患者反流性食管炎、胸胃综合征发生率较对照组显著降低(P<0.05),吻合口痿、吻合口狭窄发生率无明显差异(P>；0.05)o结论：针对食管癌患者，管状胃代食管术治疗效果优于全胃代食管术，可减少术后并发症，安全可靠，保障手术治疗效果，值得临床推广应用。【关键词】食管癌；管状胃代食管术；全胃代食管术；临床效果Comparativeanalysisofclinicaleffectoftubulargastricesophagusandwh

3、olestomachesophagusintreatmentofesophagealcancer[Abstract]Objective:Toobserveandanalyzetheclinicaleffectsoftubulargastricesophagusandwholestomachesophagusintreatmentofesophagealcancer.Methods:76patientswithesophagealcancerandwhoacceptedtreatmentsfromJanuary,

4、2013toDecember,2015wereselected,andweredividedintoobservationgroup(n二38)andthecontrolgroup(n二38)bytherandomnumbertablemethod」nthecontrolgroupofpatientsweretreatedwithwholestomachesophaguswhileintheobservationgroupofpatientsweretreatedwithtubulargastricesopha

5、gus.Then,thetreatmenteffectsoftwogroupsofpatientswereobserved.Results:Theamountofbleedingduringtheoperation,operationtime,decompressiontime,drainagetimeandhospitalizationtimeoftwogroupsofpatientswerenotstatisticallysignificant(P>0.05).Afteroperation,there

6、fluxesophagitis,incideneeofthoracicstomachsyndromeintheobservationgroupweresignificantlylowerthanthatofthecontrolgroup(P<0.05),andtherewasnosign讦icantdiffereneeintheincideneeofanastomoticleakageandanastomoticstenosis(P>O.O5).Conclusion:Inthetreatmentof

7、esophagealcancerpatients,theeffectoftubularstomachesophagusreplacementisbetterthanthatofthewholestomach,whichcanreducethecomplicationsaftertheoperation’anditissafetyandreliable,andensuretheeffectofsurgicaltreatment,thusitisworthytobeappliedintheclinical.[Key

8、words]esophagealcarcinoma;tubulargastricesophagus;wholestomachesophagus;clinicaleffect近年来，人们生活习惯、饮食结构发生了较大的变化，消化系统疾病发病率不断上升，直接影响患者正常生活与工作。食管癌作为常见的消化道肿瘤，其发病原因和机制十分复杂，可能与年龄、性别、职业、地域、生活环境、饮食习惯、遗传等因