改良管状胃在食管胸中下段癌手术中的临床应用.docVIP

改良管状胃在食管胸中下段癌手术中的临床应用 　　[摘要] 目的 探讨管状胃的改良方法及其在食管胸中下段癌手术中的应用效果。 方法 选取2009年10月～2013年12月衡水市哈励逊国际和平医院胸外科收治的食管胸中下段癌患者213例，根据手术方法不同将其分为改良管状胃组（n=108）和管状胃组（n=105），改良管状胃组制作改良管状胃，管状胃组制作管状胃。观察两组患者手术时间、术后吻合口瘘发生率、术后残胃出血量、住院时间。 结果 两组患者均顺利完成手术，管状胃组术后死亡1例，发生吻合口瘘1例，改良管状胃组无死亡及吻合口瘘病例。改良管状胃组手术时间[（147.89±11.32）min]少于管状胃组[（172.72±11.76）min]，差异有高度统计学意义（t=6.453，P=0.000）。改良管状胃组术后残胃出血量[（371.33±99.13）mL]少于管状胃组[（456.89±109.62）mL]，差异有统计学意义（t=2.456，P=0.019）。改良管状胃组术后住院时间[（14.78±3.72）d]与管状胃组[（15.89±4.09）d]比较；差异无统计学意义（t=0.853，P=0.399）。 结论 改良管状胃在食管胸中下段癌手术中可减少手术时间及术后残胃出血量，是基层医院治疗食管胸中下段癌疗效更好的手术方法，具有较好的临床应用价值。 　　[关键词] 食管胸中下段癌；改良管状胃；食管癌切除术 　　[中图分类号] R735.1 [文献标识码] A [文章编号] 1673-7210（2015）06（b）-0072-04 　　Clinical application of modified gastric tube in surgeries of middle and lower thoracic esophageal cancer 　　LU Wenmin1 GUO Zhanling1 YANG Guohong1 LI Bin1 GAO Wenping1 JIN Yi1 HOU Suping2 　　1.Department of Thoracic Surgery， Harrison International Peace Hospital of Hengshui， Hebei Province， Hengshui 053000， China； 2.Department of Pathology， Harrison International Peace Hospital of Hengshui， Hebei Province， Hengshui 053000， China 　　[Abstract] Objective To investigate the modify method of gastric tube and observe the clinical application effect of modified gastric tube in surgery of middle and lower thoracic esophageal cancer. Methods A total of 213 patients with middle and lower thoracic esophageal cancer who underwent esophagectomy from October 2009 and December 2013 in Harrison International Peace Hospital of Hengshui. They were divided into the modified gastric tube group （n=108） and gastric tube group （n=105） according to the operation method. The modified gastric tube group was given the modified gastric tube. The gastric tube group was given the gastric tube. The operation time， rate of anastomotic leakage， bleeding amount of remnant gastric postoperative operation， and length of stay in hospital of two groups were observed. Results All surgeries in the two groups were successfully performe