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.docVIP

精品论文 参考文献 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 四川省乐山市人民医院心胸外科 614000 【中图分类号】 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：两组患者术中出血量、手术时间、减压时间、引流时间、住院时间等指标比较差异不具有统计学意义（Pgt;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（Plt;0.05），吻合口瘘、吻合口狭窄发生率无明显差异（Pgt;0.05）。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 Comparative analysis of clinical effect of tubular gastric esophagus and whole stomach esophagus in treatment of esophageal cancer [Abstract] Objective: To observe and analyze the clinical effects of tubular gastric esophagus and whole stomach esophagus in treatment of esophageal cancer. Methods: 76 patients with esophageal cancer and who accepted treatments from January,2013 to December,2015 were selected,and were divided into observation group (n=38) and the control group (n=38) by the random number table method.In the control group of patients were treated with whole stomach esophagus while in the observation group of patients were treated with tubular gastric esophagus.Then,the treatment effects of two groups of patients were observed.Results: The amount of bleeding during the operation, operation time, decompression time, drainage time and hospitalization time of two groups of patients were not statistically significant (Pgt;0.05).After operation, the reflux esophagitis, incidence of thoracic stomach syndrome in the observation group were significantly lower than that of the control group (Plt;0.05), and there was no significant difference in the incidence of anastomotic leakage and anastomotic stenosis (Pgt;0.05). Conclusion: In the treatment of esophageal cancer patients, the effect of tubular stomach esophagus replacement is better than that of the whole stomach,which can reduce the complications after the operation,and it is safety and reliable, and ensure the effect of surgi