改良胸腹联合切口术对贲门癌患者肺功能及肺部感染的影响.pdfVIP

! # 学高等专科学枝学板 • 416 - Journal of Henan Medical College Vol.27 No.4 Aug.2015 临床医学 改良胸腹联合切口术对贲门癌患者 肺功能及肺部感染的影响 宋清荣 (安阳市肿瘤医院胸科，河 南 安 阳 455004) [摘要]目的观察改良胸腹联合切口术对贲门癌患者术后肺功能及肺部感染的影响。方 法 选 择 安 阳 市 肿 瘤 医院2010年 5 月 -2013年 10月收治的贲门癌患者178例 ，按不同手术径路分为观察组和对照组，每 组 89例。观 察组采用改良胸腹联合切口，对照组采用经典胸腹联合切口，比较两组患者术后肺功能、肺部感染等方面的差异。 结果改良胸腹联合切口组患者术后肺功能的恢复优于对照组、肺部感染率明显低于对照组，差异有统计学意义 (Q 0.05)。结论改良胸腹联合切口更适合于贲门癌的手术入路要求，其手术创伤小、对患者肺功能影响小，术 后发生肺部感染率低。 [关 键 词 ]贲 门 癌 ；改良胸腹联合切口；肺功能；肺部感染 [中 图 分 类 号 ]R 735.2 [文 献 标 识 码 ] A [文 章 编 号 ]1008 -9276(2015)04 -0416 -03 Effects of Modified Thoracic-abdominal Incision on Postoperative Pulmonary Function and Pulmonary Infection in Patients witli Gastric Cardin Cancer SONG Qing-rong ( Department o f thoraci Surgery， Anyang Tumor Hospital ，Henan， Anyang 455000，China) [Abstract ] Objective To observe the effect of modified thoracic - abdominal incision on postopera­ tive pulmonary function and pulmonary infection in patient witii gastric candia cancer. Metliods se of caniiac cancer were divi(ied into two group acconiing to diferent surgical approaches， who were treated in Anyang Tumor Hospital from May 2010 to October 2013. Modified thoracic-abdominal incision wa adopted in the observation group， and cla ical tiioraco - abdominal incision in the control group. The difference in postoperative pulmonary function and pulmonary infection wa compared. Results The pulmonary infection rate in thoraco - abdominal incision group wa significantly lower than in the control group after surgery- The recovery of postoperative pulmonary function in tho